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Medical Forum / Diseases and Disorders / Prostate BPH / June 2006Need Biopsy
My Urologist just called and stated that my PSA is slughtly elevated and that I should have a Ultrasound guided biopsy done. Has anyone had this done? He explained it to me but I was a bit shocked and not much sank in. I have had Cancer in the past (Malignant melanoma) and felt this should be done to rule out cancer. Any thoughts would be appreciated.  SignatureBobcat VROC #9236 Saskatoon, Saskatchewan 2006 Vulcan 900 > My Urologist just called and stated that my PSA is slughtly elevated and > that I should have a Ultrasound guided biopsy done. Has anyone had this > done? He explained it to me but I was a bit shocked and not much sank in. > > I have had Cancer in the past (Malignant melanoma) and felt this should be > done to rule out cancer. Any thoughts would be appreciated. This is pretty much a BPH problem group but there are some that can give you some hints. Perhaps best to also post that question to: sci.med.prostate.cancer and/or alt.support.cancer.prostate >My Urologist just called and stated that my PSA is slughtly elevated and >that I should have a Ultrasound guided biopsy done. Has anyone had this >done? He explained it to me but I was a bit shocked and not much sank in. > >I have had Cancer in the past (Malignant melanoma) and felt this should be >done to rule out cancer. Any thoughts would be appreciated. An elevated PSA can be caused by many things, so don't sweat it too much. Better have the biopsy done, though, if the uro recommends it. The procedure is uncomfortable and stings a bit. It feels like someone using a staple gun on your prostate. Get them to tell you how many samples they are taking so you can count them down. The main risks are infection (not that great if you are on cipro) and, if they make you drink a lot of water, urinary retention (slight, but if it happens, head for emerg for catheterization). If the biopsy is positive then you have cancer, but if it is negative, you can't rule out cancer, because the probes might have missed it. Cross-posted to sci.med.prostate.cancer. Ed Staple Gun! Ouch. I just had this procedure done. It was uncomfortable, but not painful. My doctor gave me a diazipam tablet one hour before the appointment and then another when I arrived. I'm very easily drugged, so I was asleep for about an hour before they called my name. The actual tissue samples felt like a bump. A tiny core sample was taken. The number he tells you he will take and the number he will actually take may differ. Since this was my first time I knew nothing. The doctor had said he would take A sample. A friend, said no, he'll probably take ten. He actually took 12. All benign. The friend has had a total of 50 with increasing PSA levels and no cancer found. He did find out that his bladder was not emptying and may be essentially dead. He had an enlarged prostate, but could go for hours without needing to urinate. I'm scheduled for the Green Light Laser Treatment and I'm looking for comments about that. Good Luck. >>My Urologist just called and stated that my PSA is slughtly elevated and >>that I should have a Ultrasound guided biopsy done. Has anyone had this [quoted text clipped - 20 lines] > >Ed Evidently it varies from one patient to another. I've had two and found them both very painful. Different uros. > Staple Gun! Ouch. I just had this procedure done. It was > uncomfortable, but not painful. My doctor gave me a diazipam tablet [quoted text clipped - 41 lines] >> >>Ed SignatureUntie the two knots to email me A politician thinks of the next election; a statesman, the next generation. James Freeman Clarke I've had three negative biopsies in the UK. The first was performed with a local anaesthetic was relatively painless but I had blood in my semen for the next six weeks. The next two were done by a sadistic Aussie female who I had evidently upset by questioning why she had not given me an antibiotic. I don't do local anaesthetics either she said as she rammed the probe up my rectum. I bled so much after her second one that I was kept in hospital over night. No local, no antibiotic from her but later a six week course of antibiotics from my GP for the subsequent infection. She was totally incompetent as she took forty minutes to do a vasectomy on a patient and had to phone for advice while doing it. When she had taken blood from me once for a PSA test she put the usual plaster on my arm and I buttoned my shirt sleeve and put my jacket on. When I stood up to go a look of horror appeared on her face as blood was pouring down my wrist. Derek. > Evidently it varies from one patient to another. I've had two and found > them both very painful. Different uros. [quoted text clipped - 44 lines] >>> >>>Ed > My Urologist just called and stated that my PSA is slughtly elevated and > that I should have a Ultrasound guided biopsy done. Has anyone had this > done? He explained it to me but I was a bit shocked and not much sank in. > Bobcat VROC #9236 -------------- What was your "slightly elevated" PSA? Did you have a digital rectal exam (DRE) done? Was the DRE abnormal? If you had a DRE done, was it done after your blood was drawn for the PSA test or before? If DRE is done before blood draw for PSA test, PSA will be artificially (erroneously) high. If you ejaculated or rode a bicycle within 2 days of the blood draw, PSA will be artificially high. Example, after wearing a Foley catheter for 9 days, my PSA was 18, as compared with my pre-catheterization PSA of 6. A month later, my PSA returned to 6. [I had been diagnosed with prostate cancer (PCa) at least a year before my catheterization.] Any trauma to the prostate, which can be caused by the previous events, results in a temporary increase in PSA. Sometimes an elevated PSA can be caused by an inflammation of the prostate. Taking an antibiotic such as Cipro for 6 weeks could lower the PSA to a normal level if inflammation elevated it. Men with large prostates with no PCa will have higher PSAs than men who have small prostates with no PCa. If the DRE revealed that your prostate was hard or had some hard spots (nodules), that would be one finding that would favor having a biopsy. Consider getting some free guidance by calling the Prostate Cancer Research Institute Helpline at 1-800-641-7274. Research has shown that biopsy discomfort/pain is reduced by using a local anesthetic before the biopsy. Good Luck, Lawrence J. Bookbinder (have PCa & BPH) http://www.ljblgb.com (my BPH story) Thank you for your advice. I had the DRE a few days before the blood test. The DRE and Cystoscopy revealed an enlarged prostate median lobe. I did not ask the number of the PSA, things came as a shock and I did not think to ask. SignatureBobcat VROC #9236 Saskatoon, Saskatchewan 2006 Vulcan 900 |
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