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Medical Forum / Diseases and Disorders / Prostate Cancer / November 2006

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Father and son

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billnjackie - 28 Nov 2006 04:54 GMT
Thank you for your insight and many thought provoking subjects.  We've
been fighting this battle since 2002.

I'm wondering about your thoughts concerning PCa and vasectomy.  I
remember asking the Uro if there could be any connection to being more
susceptible to PCa after having a vasectomy and I seem to remember he
said he couldn't rule it out completely.

Our son is 35 and he and his wife have discussed him having a vasectomy
after their baby is born.  I'm wondering what your thoughts would be
concerning this decision.

The Uro suggested our son have his PSA checked when he's 40.  His dad
was diagnosed at 54 with a PSA of 46.5.  Gleason was 9 all around.

Thank you for your thoughts.  
Bill & Jackie
Claude - 28 Nov 2006 13:54 GMT
> Thank you for your insight and many thought provoking subjects.  We've
> been fighting this battle since 2002.
[quoted text clipped - 10 lines]
> The Uro suggested our son have his PSA checked when he's 40.  His dad
> was diagnosed at 54 with a PSA of 46.5.  Gleason was 9 all around.

I'm not a physician.  I had a vasectomy over 30 years ago and have never
regretted it.  But I have followed any medical news on it that appeared.  I
have seen nothing linking vasectomy to PCa.  But, as the doctor said, since
there is no real evidence one way or the other, you can't rule it out.  I
think this is just a very conservative comment.
Mary Fisher - 28 Nov 2006 17:04 GMT
> I'm not a physician.  I had a vasectomy over 30 years ago and have never
> regretted it.  But I have followed any medical news on it that appeared.
> I have seen nothing linking vasectomy to PCa.  But, as the doctor said,
> since there is no real evidence one way or the other, you can't rule it
> out.  I think this is just a very conservative comment.

Spouse had a vasectomy almost forty years ago and neither of us has ever
regretted it, five children in seven years was more than enough.

Two of our sons have followed his lead, after two and three children. They
don't regret it either. And of course nor do their wives.

I suggest that the doctors can't rule out a link between eating bread and
prostate cancer. Most of the folk here will have eaten bread at some time in
their lives but not everyone who has eaten bread has developed prostate
cancer.

Mary
Claude - 28 Nov 2006 17:20 GMT
>> I'm not a physician.  I had a vasectomy over 30 years ago and have never
>> regretted it.  But I have followed any medical news on it that appeared.
[quoted text clipped - 14 lines]
>
> Mary

But I do have spermatocoels ("celes"?), a benign condition which sometimes
requires relatively minor surgery.  My uro says there is some indication of
linkage there.
Mary Fisher - 28 Nov 2006 17:34 GMT
>>> I'm not a physician.  I had a vasectomy over 30 years ago and have never
>>> regretted it.  But I have followed any medical news on it that appeared.
[quoted text clipped - 18 lines]
> requires relatively minor surgery.  My uro says there is some indication
> of linkage there.

Spouse has a hydrocele, it's why he first went to the GP, our consultant
says there's no evidence of a link between that and prostate cancer but that
there might be a link between it and vasectomy. There isn't enough evidence.
Since a hydrocele is only a nuisance it takes a back seat in the research
races.

Different specialists have different experiences and opinions - shows
they're human :-)

Mary
Steve Kramer - 28 Nov 2006 17:03 GMT
> Our son is 35 and he and his wife have discussed him having a vasectomy
> after their baby is born.  I'm wondering what your thoughts would be
> concerning this decision.

I do not know, but I don't think a vasectomy affects anything having to do
with prostate cancer.

> The Uro suggested our son have his PSA checked when he's 40.  His dad
> was diagnosed at 54 with a PSA of 46.5.  Gleason was 9 all around.

Absolutely, if not sooner.  My grandfather may have had PCa.  My dad died of
it.  I'm dying of it.  My son had his first PSA this year.  He is 29.

If for no reason other than developing a trend history, it is a good idea.

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05,
2/06, 6/06
PSA  .07 .05 .06 .09 .08 .132 .145
Casodex added daily 07/06
PSA <0.04
Non Illegitimi Carborundum

ron - 28 Nov 2006 18:36 GMT
billnjackie wrote...snip...
I'm wondering about your thoughts concerning PCa and vasectomy.  I
remember asking the Uro if there could be any connection to being more
susceptible to PCa after having a vasectomy and I seem to remember he
said he couldn't rule it out completely.
--------------------------------------------------------------------------------------------------------------------------.

A number of studies have been performed to try and answer this
question.  The overwhelming majority of these studies have not
uncovered any striking causal relationship between vasectomy and PCa.
So, like your doc said, it's hard to rule anything out completely, but
there doesn't appear to be a smoking gun.  If you'd like to read the
artices yourself, you can go over to PubMed at

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?CMD=search&DB=pubmed

and put in "vasectomy, PCa", or something similar, as search
terms...Best wishes and good health, ron
billnjackie - 29 Nov 2006 00:22 GMT
Thank you all for taking the time to reply to my question.  What a
wonderful group this is.  Ron, I don't know why I didn't do a search
without prodding.  I'm usually the first one in our house to google it.
<smile>  I found an interesting article on pub-med written Oct 15,
1996.  In it the study showed more of a risk for men who were younger
than 35 when they had the vasectomy, and of course it goes on.  It kind
of helps knowing my son is 35.  Sometimes I think PCa is just so
everyday, and it is.  I would hate to think I didn't do my homework and
there was something I could have done to help prevent one more person
having to deal with this.  So once again, I thank you all.  Jackie,
Bill,Jr's mom  : )
 
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