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Medical Forum / Diseases and Disorders / Prostate BPH / April 2009

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Recurring BPH problems

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Peetie Wheatstraw - 03 Nov 2008 17:17 GMT
I am 62 and with BPH for many years. A single Flomax .4mg used to help.
For the last 1.5 years, I've been taking 2 Flomax .4mg every evening.

I can accumulate as little as 3 oz of urine and experience bladder-pain.
Not so bad during the day: I'm retired and at home almost all day.

On a typical night, I might sleep for an hour or so, then awake with
an erection caused by bladder-pain. Then have trouble starting a
stream, finally nurse 5-6 short spurts into the toilet, and try to
get back to sleep. Awake again in 1.5-3 hours with similar experience.

Do patients build up tolerance to Flomax and similar drugs over time?

Not certain where to go from here. Any/all info/suggestions much
appreciated.

 Thanks,
 Peetie
Ed - 03 Nov 2008 23:20 GMT
>I am 62 and with BPH for many years. A single Flomax .4mg used to help.
>For the last 1.5 years, I've been taking 2 Flomax .4mg every evening.
[quoted text clipped - 14 lines]
>  Thanks,
>  Peetie

Hi, Peetie.

I've been on Flomax for more than 4 years, and there is no sign of
tolerance to it. It still works for me.

What is causing the bladder pain? Your uro must have investigated
that. What has he said? Are you maybe in retention all the time? That
would be a bad thing.

Like you, I get up every 2 or 3 hours at night. That is not a serious
frequency. But I would say pain is not a good sign and should be
investigated.  

You must be seeing a uro, right? What does he recommend? Mine says try
meds first. In addition to Flomax (which relaxes the muscles), maybe
you should be on Proscar or Avodart (which reduce the size of the
prostate). But these drugs don't help symptoms all that much. They
might help a bit, but mostly will help keep the condition from getting
worse.

If meds don't work or stop being effective enough, then it is time for
surgery. The main options are TURP and PVP.

Ed
Peetie Wheatstraw - 04 Nov 2008 03:01 GMT
...
>>Do patients build up tolerance to Flomax and similar drugs over time?
>>
[quoted text clipped - 8 lines]
>I've been on Flomax for more than 4 years, and there is no sign of
>tolerance to it. It still works for me.

Glad to hear. How old are you?

>What is causing the bladder pain? Your uro must have investigated
>that. What has he said? Are you maybe in retention all the time? That
>would be a bad thing.

I don't think it's just retension. It just hurts. And somehow
precipitates an erection during sleep. It's often the erection
that actually makes me leave bad.

I'll go shopping for an hour or so. When I get back, it hurts a
bunch. I pee, the volume isn't great, pain is relieved. It doesn't
feel like there's much left in there.

>Like you, I get up every 2 or 3 hours at night. That is not a serious
>frequency. But I would say pain is not a good sign and should be
>investigated.  

If not pain, then what wakes you after, say, the first 2 hours of
sleep?

>You must be seeing a uro, right? What does he recommend?

I get a lotta dumb looks after they determine I'm not a
candidate for surgery.

>Mine says try
>meds first.

He couldn't be all bad. :-)

>In addition to Flomax (which relaxes the muscles), maybe
>you should be on Proscar or Avodart (which reduce the size of the
>prostate). But these drugs don't help symptoms all that much. They
>might help a bit, but mostly will help keep the condition from getting
>worse.

If it hadn't gotten worse in recent years, maybe I'd still be OK
with a Flomax or 2. Maybe I should approach my doc re Proscar or Avodart.
Other opinions are very welcome.

>If meds don't work or stop being effective enough, then it is time for
>surgery. The main options are TURP and PVP.

I'd consider Haitian VooDoo Magic before I'd consider going under
the knife.

 Thanks,
 Peetie
DerekF - 04 Nov 2008 10:18 GMT
> ...
>>>Do patients build up tolerance to Flomax and similar drugs over time?
[quoted text clipped - 59 lines]
>  Thanks,
>  Peetie
Many people would just be happy with the erections:-) Have you had a flow
test and been checked for retention. If you don't have retention and only
pass 3 ozs it sounds like your kidneys are not producing the urine. Do you
drink normal amounts of water as that is a very big part of Haitian Voodoo
medical practice.
Derek.

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Peetie Wheatstraw - 04 Nov 2008 17:01 GMT
>Many people would just be happy with the erections:-)

I would be, too ... if they would occur at opportune moments! <g>

>Have you had a flow
>test and been checked for retention.

No.

>If you don't have retention and only
>pass 3 ozs it sounds like your kidneys are not producing the urine.

Where else could it come from?

>Do you
>drink normal amounts of water as that is a very big part of Haitian Voodoo
>medical practice.

I'm probably near average for liquid intake.

 Thx,
 Peetie
willshak - 04 Nov 2008 14:10 GMT
on 11/3/2008 10:01 PM Peetie Wheatstraw said the following:

>  
>>
[quoted text clipped - 77 lines]
>   Peetie
>  

Try an NSAID or two before going to bed. Aspirin, Ibuprofen, Tylenol, etc.
It could reduce the amount of times you have to get up, and the pain
reliever might help.
I'm 70, and it helps me reduce the trips to the bathroom. I have one
trip halfway through my sleep time (usually between 4 and 5 AM), but
I've never had any pain to test whether the pain reliever would help.
Another thing is to not drink any liquids for a few hours before going
to bed, the more hours the better.

Signature

Bill
In Hamptonburgh, NY
In the original Orange County. Est. 1683
To email, remove the double zeroes after @

Peetie Wheatstraw - 04 Nov 2008 17:04 GMT
>Try an NSAID or two before going to bed. Aspirin, Ibuprofen, Tylenol, etc.
>It could reduce the amount of times you have to get up, and the pain
>reliever might help.

I'm a cronic pain patient, take lots of tylenol, ibuprofen, and am
on opioid therapy (for years now). Lo-back pain, nasty vericocele,
etc.

>I'm 70, and it helps me reduce the trips to the bathroom. I have one
>trip halfway through my sleep time (usually between 4 and 5 AM), but
>I've never had any pain to test whether the pain reliever would help.
>Another thing is to not drink any liquids for a few hours before going
>to bed, the more hours the better.

I try to limit liquid intake in the evening hours. Drink very little
from 6 pm 'till bedtime around 11:30.

 Thx,
 Peetie
Corky - 05 Nov 2008 21:30 GMT
Hello: I had bladder pain a few years ago, and with a regular x-ray, a
one inch bladder stone was found. I had a very small prostate (29
grams), but the center lobe pushed upward. That deformed the bladder
just enough to create an environment for a stone to form. After the
stone was removed, I had a TURP 10 months later. It was not that big a
deal, as not much of the prostate had to be taken out. I think only 4
grams. My uro told me that some people like me can have an elevated
bladder neck from birth  without a prostate problem. Corky

>>Try an NSAID or two before going to bed. Aspirin, Ibuprofen, Tylenol, etc.
>>It could reduce the amount of times you have to get up, and the pain
[quoted text clipped - 15 lines]
>  Thx,
>  Peetie
Peetie Wheatstraw - 06 Nov 2008 03:07 GMT
>Hello: I had bladder pain a few years ago, and with a regular x-ray, a
>one inch bladder stone was found. I had a very small prostate (29
>grams), but the center lobe pushed upward. That deformed the bladder
>just enough to create an environment for a stone to form. After the
>stone was removed,

How did they remove the stone?

>I had a TURP 10 months later.

Removing the stone didn't decrease the pain at all?

>It was not that big a
>deal, as not much of the prostate had to be taken out. I think only 4
>grams. My uro told me that some people like me can have an elevated
>bladder neck from birth  without a prostate problem. Corky

Forgive my ignorance: I'm really not familiar with such
procedures, etc. A "Babe In The Woods", so to speak.

Would appreciate details of both procedures. How long
incapacitated? How much pain? Etc, etc.

How expensive? I'd have to pay the first $500 out-of-pocket.

I've seen 3 uro's over the years. None much cared about
relating helpful advice.

 Thanks,
 Peetie

>>>Try an NSAID or two before going to bed. Aspirin, Ibuprofen, Tylenol, etc.
>>>It could reduce the amount of times you have to get up, and the pain
[quoted text clipped - 15 lines]
>>  Thx,
>>  Peetie
Corky - 06 Nov 2008 06:08 GMT
Hello: The bladder stone was removed by going up through the penis
with some kind of instrument which blasted it into little pieces. I
was sedated for the procedure, but had to have a catheter for 24 hours
after the operation. (only time incapacitated) The majority of the
bladder pain went away immediately, but it took a month to get back to
100%.

The TURP also involves going through the penis, and in my case they
didn't use a laser. I don't know the name of the tool they used, but
I went home with a catheter for 48 hours. I didn't like that part. The
healing took about three weeks. The bleeding was minimal, but I didn't
like it when little chunks of tissue came out, or a little pink urine.
Not too much pain though.

I had good insurance so the out of pocket was around $600 for both
procedures that I had.

Most people in this newsgroup like the Greenlight laser procedure. I
think if I needed a lot of tissue removed to fix my BPH, I'd go with
that.

One other thing is you don't want to damage your bladder by waiting
years to correct any urination problems. The organ can thicken with
something they call trabuculations. (sp?) Corky

On Wed, 05 Nov 2008 21:07:55 -0600, Peetie Wheatstraw
<peetie.wheatstraw@gmail.com> wrote:

>>Hello: I had bladder pain a few years ago, and with a regular x-ray, a
>>one inch bladder stone was found. I had a very small prostate (29
[quoted text clipped - 46 lines]
>>>  Thx,
>>>  Peetie
Peetie Wheatstraw - 07 Nov 2008 17:25 GMT
Thanks, Corky. Such info is potentially very helpful.

>I've seen 3 uro's over the years. None much cared about
>relating helpful advice.

Anybody found a better way of finding a helpful uro than just
leafing thru the ins. co. provider directory, chatting with
their receptionists on the phone?

 Thanks,
 Peetie

>Hello: The bladder stone was removed by going up through the penis
>with some kind of instrument which blasted it into little pieces. I
[quoted text clipped - 20 lines]
>years to correct any urination problems. The organ can thicken with
>something they call trabuculations. (sp?) Corky
M.Balarama - 10 Nov 2008 02:16 GMT
> Thanks, Corky. Such info is potentially very helpful.
>
[quoted text clipped - 4 lines]
> leafing thru the ins. co. provider directory, chatting with
> their receptionists on the phone?

I went to the PVP site and found one that does PVP-but he does not listen to
me  etc.-but he does PV and he is pretty close by.
Michael

>  Thanks,
>  Peetie
[quoted text clipped - 23 lines]
>>years to correct any urination problems. The organ can thicken with
>>something they call trabuculations. (sp?) Corky
hb - 06 Nov 2008 14:18 GMT
I'm 60.

In 2006 my PSA went from 2.5 to 4.5, so a needle biopsy was done
(negative results)

2007, had the free/radical test done. I was told this is a different
test, so we could not compare previous results with this test.
This test was 4.25 with free/radical at 30& chance of cancer.
I decided to wait and see (no biopsy)

2008, PSA of 5.8  - another needle biopsy (negative results)

The uro offered no thoughts on how to deal with a high PSA- more like
'see you next year and we'll stick you again'.

For the past 18 months, I've taken saw palmetto with nettle and
pumpkin seed - but then my PSA was the highest its been this year.

I would assume that punching 12 holes into my prostate every year is
not a great way to treat it.

Any suggestions on how to lower PSA?
F. C. - 06 Nov 2008 20:57 GMT
>I'm 60.
>
[quoted text clipped - 18 lines]
>
>Any suggestions on how to lower PSA?

As a very interested layman,  I will offer what I have found on the
internet over the past four years..

There are things to avoid within a few days of the PSA test that may
(I repeat .. MAY) help.

Strenuous exercise -- especially involving the lower body.   Sexual
climax.  Those are two I have read about on the internet.

I would suggest the possibility -- and this is only my own idea --
make sure you are not constipated on the day preceding the test. .  

As I say -- I am only a layman with no medical knowledge.  I suffer
BPH myself -- and I also try and help myself.   As an afterthought,
I have heard that cranberry juice is good for the bladder.  Possibly
also for the whole urinary system.  

Just a few amateur thoughts.
DerekF - 06 Nov 2008 23:40 GMT
>>I'm 60.
>>
[quoted text clipped - 37 lines]
>
> Just a few amateur thoughts.

Hard stools in the days before the test also put PSA up
Derek.

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jpcod@yahoo.co.uk - 07 Nov 2008 00:30 GMT
> >I'm 60.
>
[quoted text clipped - 39 lines]
>
> - Show quoted text -

Hi.
I have prostate problems and have been fitted with a cathater now for
6 months. I took a twoc test this week and failed to pass sufficient
urine. I have found for some time that sitting in a chair during the
evenings and at night I have no problems. During the day  I  sometimes
get the feeling of wanting to urinate and a 10 or 20 seconds severe
pain. Some urine into the leg bag and a leakage from the top. A small
leakage usually but sometimes a large leakage.
( Due to blockage I have had to visit A and E 3 times to have a
replacement bag fitted.)
Due to see a mail nurse  who is an expert ? on prostate problems  in
10 days. Have any other reader had sinilar problems and what in the
remidy to solve the problems ?
Peter.
DerekF - 06 Nov 2008 23:38 GMT
> I'm 60.
>
[quoted text clipped - 18 lines]
>
> Any suggestions on how to lower PSA?
My PSA went down by about 30% after my PVP and I'm told that is about the
average and is now 5.86.
Derek.

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Hambone - 16 Dec 2008 02:31 GMT
I do not have any suggestion for lower your PSA other using maybe Saw
Palmento.  
I was wondering how your PVP turn out other than lower your PSA?  What sort
of adverse reaction did you have after the PVP?  Was your prostate of large
size?  The reason I am asking about the size is that I found the founding
information on the internet:  The PVP (KPT) Laser (GreenLight Laser) has a
somewhat long wavelength that penetrates the tissue more deeply - in fact,
the energy penetrates more deeply than it ablates (removes). The consequence
is that unablated remaining tissue has been affected by the laser. The result
can be a phenomenon known as necrosis of the affected tissue: the remaining
tissue dies and may require further treatment of other means to remove, down
the line.  This is a potential detrimental side effect. Because of the higher
possibility of necrosis, PVP is not recommended for larger prostate
conditions. It is considered viable for smaller prostates.

Definition of Necrosis - Death of cells or tissues through injury or disease,
especially in a localized area of the body.

I also found the following on the internet in the same article:  HOLMIUM
LASER
The Holmium (YAG) laser has a shorter wavelength and penetrates less deeply
than the PVP. Energy from the laser is imparted only to the tissue that is
ablated (removed). As a result, there is no necrosis concern.  In a panel
discussion of noted urologists comparing the two technologies for HoLAP
procedures[1], the experiences of all came down positively for the Holmium vs.
the PVP laser.

Holmium (YAG) laser can be performed on extremely large prostates with
minimal risk or need for secondary interventions.

When I went to see my urologist he wants to use PVP on my prostate.  He said
my prostate is very large.  After reading the above info. I am somewhat leary
to let him do PVP now.  If you had a positive outcome from PVP and had a
large prostate that will make me fill somewhat better.

I fact if there is anybody out there that have information that will make me
feel more comfortable about either of these (PVP GreenLight) or Homium (YAG)
I would like to know  I am going to have to have something done to my
prostate to make pee with full stream and not be in pain all the time.  Thank
You

>> I'm 60.
>>
[quoted text clipped - 9 lines]
>Access your favorite newsgroups from home or on the road
>-----------------
lmac - 07 Nov 2008 03:16 GMT
> I'm 60.
>
[quoted text clipped - 18 lines]
>
> Any suggestions on how to lower PSA?

I think you've got it about right except, I'd
look at "cause" rather than "cure."

Were this my issue, I'd look for another Uro or
sit down with my PriCare physician and ask for
help. I'd be tempted to ask for a referral to an
Endocrinologist.  Specifically, how's your
Estradiol?

Meanwhile, take a look at Dr. Shippen's book,
/The Testosterone Syndrome/

lmac
Ken - 07 Nov 2008 17:07 GMT
hb <hbailey21@nmia.com> wrote in news:4fu5h4pjpvtkcf6f9p6582aakqtoorplp4@
4ax.com:

> I'm 60.
>
[quoted text clipped - 7 lines]
>
> 2008, PSA of 5.8  - another needle biopsy (negative results)

I've had two also.

> The uro offered no thoughts on how to deal with a high PSA- more like
> 'see you next year and we'll stick you again'.

Easy money.

> For the past 18 months, I've taken saw palmetto with nettle and
> pumpkin seed - but then my PSA was the highest its been this year.
[quoted text clipped - 3 lines]
>
> Any suggestions on how to lower PSA?

Stop getting PSA tests. That's what I did. At 74, I'll probably outlive
PC.

Ken


Signature

"When you choose the lesser of two evils, always
remember that it is still an evil." - Max Lerner

Ken - 07 Nov 2008 17:11 GMT
Ken <invalid@invalid.com> wrote in news:Xns9B4F671382DDinvalidcom@
130.133.1.4:

> At 74, I'll probably outlive
> PC.

Stupid! I meant I'll die of something else before PC gets me.

Signature

"When you choose the lesser of two evils, always
remember that it is still an evil." - Max Lerner

Gemini-Aquarius2 - 21 Apr 2009 12:37 GMT
Visit gemini-aquarius2.com You will find Wonderlabs Selling herbs (EDTA oral
chelation)
Cloudnine - Apecializing in Anti-aging Products
Affiliates - Amazon - Ebay - Travel Agency ect...

> Ken <invalid@invalid.com> wrote in news:Xns9B4F671382DDinvalidcom@
> 130.133.1.4:
[quoted text clipped - 3 lines]
>
> Stupid! I meant I'll die of something else before PC gets me.
willshak - 08 Nov 2008 19:46 GMT
on 11/7/2008 12:07 PM Ken said the following:
> hb <hbailey21@nmia.com> wrote in news:4fu5h4pjpvtkcf6f9p6582aakqtoorplp4@
> 4ax.com:
[quoted text clipped - 36 lines]
>
> Ken

Gotcha. Too late to worry about bathroom visits. If I wake up in the
middle of the night to go to the bathroom, I know I'm still alive. :-)

Signature

Bill
In Hamptonburgh, NY
In the original Orange County. Est. 1683
To email, remove the double zeroes after @

Ed - 06 Nov 2008 17:42 GMT
>>Hello: I had bladder pain a few years ago, and with a regular x-ray, a
>>one inch bladder stone was found. I had a very small prostate (29
[quoted text clipped - 23 lines]
>I've seen 3 uro's over the years. None much cared about
>relating helpful advice.

That's typical. Many doctors don't say much that is useful to their
patients. And what they do say might sound technical, so you might
have trouble understanding.

So, since we know that, it is up to us patients to get info ourselves.
Read up on your conditions. You will discover lots. And you will be
able to ask better questions when you see the doc, and with a better
chance you will understand the answer.

In the olden days we went to the library to learn about stuff. Now
everybody can get all the info they want from the Web. Google it!

http://tinyurl.com/5rxpnj

Ed
Peetie Wheatstraw - 07 Nov 2008 16:59 GMT
>That's typical. Many doctors don't say much that is useful to their
>patients. And what they do say might sound technical, so you might
[quoted text clipped - 9 lines]
>
>http://tinyurl.com/5rxpnj

You are very helpful, Ed.

You are very helpful, Ed.

You are very helpful, Ed.

Thank you very much, Ed.

Thank you very much, Ed.

Thank you very much, Ed. :-)

 G'bye, S'long,
 Peetie
Ed - 04 Nov 2008 17:03 GMT
>>If meds don't work or stop being effective enough, then it is time for
>>surgery. The main options are TURP and PVP.
>
>I'd consider Haitian VooDoo Magic before I'd consider going under
>the knife.

If meds are not sufficient and you are not able to pee, there are not
that many options left...

o Voodoo magic
o Self-catheterization several times a day
o Surgery
o Death.

Ed
Ed - 04 Nov 2008 17:20 GMT
>>What is causing the bladder pain? Your uro must have investigated
>>that. What has he said? Are you maybe in retention all the time? That
[quoted text clipped - 7 lines]
>bunch. I pee, the volume isn't great, pain is relieved. It doesn't
>feel like there's much left in there.

Since you say "don't think", you probably don't know. You could be
retaining a lot of urine and not know it. You should find out by
consulting qualified medical help as soon as possible. If you are in
retention, this could be permanently wrecking your bladder and your
kidneys too.

Ed
DerekF - 04 Nov 2008 19:14 GMT
>>>What is causing the bladder pain? Your uro must have investigated
>>>that. What has he said? Are you maybe in retention all the time? That
[quoted text clipped - 15 lines]
>
> Ed
He is also on a lot of medications. Can any of them be part responsible for
his problem.
Derek.

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hb - 06 Nov 2008 01:17 GMT
henrybailey21@msn.com - 06 Nov 2008 14:18 GMT
I've had 2 prostate biopsies due to 2 high PSA tests. Both results
were negative.

After the least biopsy, the urologist just says 'see you next year' -
no suggestions on how to keep the prostate healthy.

A year ago, I started saw palmetto with nettle and pumpkin seed.

2 yrs ago my PSA was 4.2 - down from 4.7. This year it was 5.9

I can't see having a yearly needle biopsy. Punchinig 12 holes in the
prostate every year cannot be beneficial.

What exactly causes the PSA to go high?  Can anything be done to lower
PSA levels in non cancerous prostate?
Charles Hottel - 07 Nov 2008 04:18 GMT
> I've had 2 prostate biopsies due to 2 high PSA tests. Both results
> were negative.
[quoted text clipped - 11 lines]
> What exactly causes the PSA to go high?  Can anything be done to lower
> PSA levels in non cancerous prostate?

You could try a product called zyflamend.
RickMerrill - 10 Dec 2008 08:37 GMT
> I've had 2 prostate biopsies due to 2 high PSA tests. Both results
> were negative.
[quoted text clipped - 5 lines]
>
> 2 yrs ago my PSA was 4.2 - down from 4.7. This year it was 5.9

If you are over 60 yrs old, you're good!

> I can't see having a yearly needle biopsy. Punchinig 12 holes in the
> prostate every year cannot be beneficial.

Ain't THAT the truth!!

> What exactly causes the PSA to go high?

bladder pressure, infection, sex ...

> Can anything be done to lower
> PSA levels in non cancerous prostate?

Sorry, not a whole hell of a lot.

However, there is a prostate genetic test, and in Canada researchers
have come up with 4 tests which taken together are vastly superior to
PSA alone.

Badger your UA to find out more.
Gemini-Aquarius2 - 25 Apr 2009 05:58 GMT
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>> I've had 2 prostate biopsies due to 2 high PSA tests. Both results
>> were negative.
[quoted text clipped - 26 lines]
>
> Badger your UA to find out more.
Gemini-Aquarius2 - 29 Apr 2009 15:22 GMT
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>> I've had 2 prostate biopsies due to 2 high PSA tests. Both results
>> were negative.
[quoted text clipped - 26 lines]
>
> Badger your UA to find out more.
lmac - 10 Dec 2008 16:36 GMT
> I've had 2 prostate biopsies due to 2 high PSA tests. Both results
> were negative.
[quoted text clipped - 11 lines]
> What exactly causes the PSA to go high?  Can anything be done to lower
> PSA levels in non cancerous prostate?

Been seeing the same Uro for almost 10 years.
His approach is: if it increases 10% from one
year to the next, do a retest in 90 days.  If
there's another increase then 'consider the next
move.'

I had a 20% jump in PSA several years ago and on
the 90 day re-test it fell back to what it was
the year before.  So, I've no clue as to what
his "next move" might be.

Over the long pull, my PSA has fallen, bph has
worsened slightly and my 'T' is down about 20%
from where it was 10 years ago.  My weight also
dropped 10% during that period so my E2 is
probably down.  According to the good Dr.
Shippen, getting the E2 under control is a good
deal for the prostate.

...lmac
RickMerrill - 10 Dec 2008 19:50 GMT
>> I've had 2 prostate biopsies due to 2 high PSA tests. Both results
>> were negative.
[quoted text clipped - 26 lines]
>
> ...lmac

Do you get both E1 and E2 tested?  Have you ever had the genetic test?

I hear that the brits or canadians have a new test with 4 parts that is
a much better indicator.  Maybe your Uro can shed some light on that!-)
c palmer - 11 Dec 2008 18:12 GMT
From: lmac5491@yahoo.com (lmac)

henrybailey21@msn.com wrote:

I've had 2 prostate biopsies due to 2 high PSA tests. Both results were
negative.
After the least biopsy, the urologist just says 'see you next year' - no
suggestions on how to keep the prostate healthy.
A year ago, I started saw palmetto with nettle and pumpkin seed.
2 yrs ago my PSA was 4.2 - down from 4.7. This year it was 5.9
I can't see having a yearly needle biopsy. Punchinig 12 holes in the
prostate every year cannot be beneficial.
What exactly causes the PSA to go high? Can anything be done to lower
PSA levels in non cancerous prostate?

Been seeing the same Uro for almost 10 years. His approach is: if it
increases 10% from one year to the next, do a retest in 90 days. If
there's another increase then 'consider the next move.'
I had a 20% jump in PSA several years ago and on the 90 day re-test it
fell back to what it was the year before. So, I've no clue as to what
his "next move" might be.
Over the long pull, my PSA has fallen, bph has worsened slightly and my
'T' is down about 20% from where it was 10 years ago. My weight also
dropped 10% during that period so my E2 is probably down. According to
the good Dr. Shippen, getting the E2 under control is a good deal for
the prostate.
..lmac  

===> hi Imac - have you had a free psa test ran?  this would ease the
concerns on having pca.   the free psa number should be above 25 and it
drops as prostate cancer develops.  

but using the psa test and the free psa test.  this will give you at
least some idea of what's going on inside your body.

all the best,

~curtis

knowledge is power - growing old is mandatory - growing wise is optional    
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
http://community.webtv.net/PALMER_ENT/doc
RickMerrill - 11 Dec 2008 21:24 GMT
...
> What exactly causes the PSA to go high?

In addition to cancer:

Age, enlargement, bladder pressure (!), BM, and exercise!
Ed - 11 Dec 2008 22:55 GMT
>...
>> What exactly causes the PSA to go high?
>
>In addition to cancer:
>
>Age, enlargement, bladder pressure (!), BM, and exercise!

What's BM?

Ed
RickMerrill - 12 Dec 2008 00:34 GMT
>> ...
>>> What exactly causes the PSA to go high?
[quoted text clipped - 5 lines]
>
> Ed

A very very old shorthand for bowel movement, get it?
Ed - 12 Dec 2008 05:36 GMT
>>> ...
>>>> What exactly causes the PSA to go high?
[quoted text clipped - 7 lines]
>
>A very very old shorthand for bowel movement, get it?

OK, thanks. In that case, you left out sex.

Ed
RickMerrill - 16 Dec 2008 21:41 GMT
>>>> ...
>>>>> What exactly causes the PSA to go high?
[quoted text clipped - 10 lines]
>
> Ed

a form of exercise?-)
lmac - 12 Dec 2008 03:17 GMT
>  From: lmac5491@yahoo.com (lmac)
>
[quoted text clipped - 39 lines]
> invariably fatal. Prostate cancer is only sometimes so."
> http://community.webtv.net/PALMER_ENT/doc

==================
My psa has been quite low (usually under 1.0 )
and doesn't approach any of the popular limits.

Father had PCa but it was secondary to a couple
of other cancers.

I'm observant rather than concerned so haven't
pursued any genetic tests.

Good news:  About two years I managed a 15 lb
weight loss and E2 came down.

Bad news:  My height has decreased and that
yielded a BMI increase.  Hard to win the aging
game!  :-|

...lmac
Chockman - 04 Nov 2008 17:25 GMT
One thing to consider if you haven't already done so.  In my case I had
the BPH taken care of with TUMT and PVP.  What I found out after those
interventions was that I had an additional problem caused by thickening
of the bladder wall which can lead to small capacity.  In my case I
still get up 1-2x per night.  My daytime frequency is about the same
every 3-4 hours.  My brother who had an open prostatectomy for a large
prostate reports that his night time frequency issue has not been solved
by his surgery.  Have you ever had a cysto?  What did that reveal?  It
might be time to do so if you have not had one to more clearly define
what is going on.  The pain issue is one that I think should be answered
by a uro.  My two cents for what it is worth.  I tried some of the meds
for overactive bladder without much change in night time frequency.

> I am 62 and with BPH for many years. A single Flomax .4mg used to help.
> For the last 1.5 years, I've been taking 2 Flomax .4mg every evening.
[quoted text clipped - 14 lines]
>   Thanks,
>   Peetie
 
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