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Medical Forum / Diseases and Disorders / Prostate BPH / April 2005

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PSA / Biopsy

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elmerdorsey@yahoo.com - 14 Apr 2005 19:19 GMT
Hello, all! I posted a couple of questions about 3 years ago and got
some good input, so I'm back with a couple more. 3+ years ago my PSA
was 5.7 and the doctor recommended a biopsy. I wimped out and didn't do
it. My PSA went back down into the 4.5 range and then a couple of
months ago it went back up to 5.6. I'm looking for opinions, and would
appreciate any and all I can get. First, since my PSA hasn't gone up,
isn't that a good indicator that I don't have prostate cancer? I guess
I'm looking for an excuse not to get the biopsy that's scheduled for
Monday... If I go ahead and have the biopsy, and it's negative, can I
pretty safely assume I'm clear and that my PSA is just naturally high?
By the way, I'm 56 years old, and I've had prostate "problems" off and
on since I was 19. Currently I don't have any prostate symptoms at all.
Last week I went to a urologist, and he was the first doctor to do a
DRE on me. He said he couldn't feel anything out of the ordinary, but
said the only way to make sure was a biopsy. I would sincerely
appreciate any and all feedback.
Sullivans - 14 Apr 2005 20:11 GMT
> Hello, all! I posted a couple of questions about 3 years ago and got
> some good input, so I'm back with a couple more. 3+ years ago my PSA
[quoted text clipped - 12 lines]
> said the only way to make sure was a biopsy. I would sincerely
> appreciate any and all feedback.

The biopsy is just not that big a deal;  some discomfort, but no real pain.
Seems to me that you'll feel a lot better after a negative result.   Your
PSA level may not indicate cancer, but could be some prostatitis which comes
and goes.   Go wih your doc's suggestion, and keep us posted.

    Bob
nambucca - 14 Apr 2005 23:05 GMT
> > Hello, all! I posted a couple of questions about 3 years ago and got
> > some good input, so I'm back with a couple more. 3+ years ago my PSA
[quoted text clipped - 21 lines]
>
> I think its extremely stupid to dodge the biopsy
I have a friend age 59 who was 100% sure he did not have a problem
.......PSA was 8.5 ......biopsy showed stage 4 cancer in all sections
.........radical prostatectomy revealed spread outside the capsule and
aggresive tumour

Dont be a fool early diagnosis and treatment saves lives
Michael Balarama - 14 Apr 2005 23:36 GMT
> > > Hello, all! I posted a couple of questions about 3 years ago and got
> > > some good input, so I'm back with a couple more. 3+ years ago my PSA
[quoted text clipped - 29 lines]
>
> Dont be a fool early diagnosis and treatment saves lives

My PSA went high and the Dr was going to do a biopsy-he said he would give
me  something to kill an infection-that would drive my PSA up- he gave me a
week of cipro-after a  few weeks my psa went down--and then he checked it a
month or two later and it went down some more  then it went back down to
where it was..to begin with..
good luck
Michael
elmerdorsey@yahoo.com - 16 Apr 2005 15:25 GMT
OK, OK... I guess you guys know that's not what I wanted to hear... But
I'm sure it's what I needed to hear. I'm getting the biopsy Monday
morning. One thing I didn't point out in my first post is the fact that
I am terrified of needles. The biopsy needles don't concern me nearly
as much as the IV. The doctor planned to put  me to sleep for the
procedure, so I'm having it done as an outpatient at the local
hospital. I always try to explain that I'm probably the most
needle-phobic person they've ever encountered. The reaction is always
the same: "Oh, you'll be fine!" Well, I won't be fine, but I can't
convince them of that until they try to hold me down and get a needle
in my arm while I'm shaking, squirming, and generally acting like a
2-year-old.

Then there's the matter of general anesthesia. I'm probably more afraid
of that than I am cancer, since I've had a couple of bad experiences
waking up from that stuff. So I called the doctor and talked to him
about it yesterday. He said I can work that out with the
anesthesiologist and that I won't have to be put under if I don't want
to. He went so far as to say that if I'm not happy with the way things
are going after I get there, that I'm more than welcome to pass on the
procedure entirely. For some reason, that was more helpful than
anything else he said. I needed to hear something like that so I know
that I won't get up Monday morning and decide to "cut class" and not
even show up. And once I get there, I know I won't leave.

I apologize for being such a whiner - especially in the company of so
many of you guys who have undergone far worse. I've had lots of
experiences with hospitals, doctors, surgeries, and other medical
procedures, but my private parts are my private parts, if you know what
I mean... I'm sure part of my fear is due to watching my grandfather
die of prostate cancer, but that was 30 years ago and I'm sure there
have been mind-boggling advances in treatment since then.

All in all, I'm about 90% sure that I don't have cancer, but that other
10% is playing hell with my head right now, so I'm definitely going to
go ahead and find out for sure. Thanks again to all four of you guys
who took the time to respond to my questions and my fears. I'll check
back in as soon as I get the results.
elmerdorsey@yahoo.com - 18 Apr 2005 21:52 GMT
Quick update: I had the biopsy earlier today. Everything seemed to go
well, and I didn't make too much of a scene about the IV, etc. Of
course, we won't know anything for sure for a few days, but the doctor
said I have a cyst on my prostate, which he said "you don't see every
day." He said there's a possibility that it's the cause of the elevated
PSA, and that it would be unusual for the cyst to be cancerous. In any
event, he drained and biopsied the cyst. So we'll see...
elmerdorsey@yahoo.com - 20 Apr 2005 22:53 GMT
> Quick update: I had the biopsy earlier today. Everything seemed to go
> well, and I didn't make too much of a scene about the IV, etc. Of
[quoted text clipped - 3 lines]
> PSA, and that it would be unusual for the cyst to be cancerous. In any
> event, he drained and biopsied the cyst. So we'll see...

NO CANCER!!!!!
Fred - 15 Apr 2005 14:21 GMT
My PSA jumped from 2 to 4 to 12 in a one-year period so I've had three
biopsies. It's uncomfortable but not painful. I wouldn't try to avoid
it because it can be reassuring.  At the 3rd biopsy, my Dr. took as
much as 18 samples, which is a lot.  All came back negative.  So he
concludes that it's my BPH that's causing the high PSA, which is now
down to about 10. I'm 53 and started having problems about 4 years ago.
elmerdorsey@yahoo.com - 21 Apr 2005 16:48 GMT
<snip>

Sorry if I'm a little rusty on the Usenet thing. But here's my update:
The doctor called me yesterday and let me know that I don't have
cancer. Needless to say, I'm ecstatic! The elevated PSA was evidently
caused by the cyst, and he wants to keep an eye on that, but that
doesn't appear to be a problem of any magnitude at all.
 
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