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Medical Forum / Diseases and Disorders / Prostate BPH / December 2003PSA -- I think this is decent, is it??
I will be seeing a PVP uro on 1/5. In preparation, I've gathered some PSA data from my last 8 physicals. I've always been reassured by these results. I still think they are good, but they sure are increasing. However, I am 57 years old now, so I am assuming that an increasing PSA just goes with the territory. But I also have another thought: doesn't that also help indicate (or maybe correlate with) my slowly increasing BPH symptoms?? Anyway, here are the results and I'd be curious what others thought (my thought: this is typical -- but, is it?): 6/95 1.2 10/96 1.3 10/97 1.5 10/98 1.6 10/99 1.7 10/00 2.0 11/01 2.1 2/03 2.0 Mel My PSA has ranged from 1.4 to 1.7 between 1996 and 2002. Will get the next test next month. I'm 55. 1996 was about when I first started noticing BPH symptoms. > I will be seeing a PVP uro on 1/5. > [quoted text clipped - 18 lines] > > Mel Mel, Assuming that you have BPH only, the slowly rising PSA shows a prostate that is enlarging and getting more inflammed year after year. I have results like this from 1993 until 2002. Slowly rising PSA year after year with ever increase symptoms. Patrick > I will be seeing a PVP uro on 1/5. > [quoted text clipped - 18 lines] > > Mel > Mel, > Assuming that you have BPH only, the slowly rising PSA shows a prostate that > is enlarging and getting more inflammed year after year. I have results > like this from 1993 until 2002. Slowly rising PSA year after year with ever > increase symptoms. > Patrick My PSA has never been below 4 and got as high as 17 prior to having a TURP in 1998. It dropped back to 4 after the TURP and has remained there since. Don >> Mel, >> Assuming that you have BPH only, the slowly rising PSA shows a prostate that [quoted text clipped - 8 lines] > >Don Can anyone tell me how often I should have a PSA test AFTER having had a successful PVP? Chris Chris: My GUESS is you would still do it once a year. You would probably need to establish a new baseline and then go from there as prostate cancer is still a threat and that's the major purpose of PSA testing (to screen for it). I understand there might be a better test soon. MB > >> Mel, > >> Assuming that you have BPH only, the slowly rising PSA shows a prostate that [quoted text clipped - 13 lines] > > Chris >I will be seeing a PVP uro on 1/5. > [quoted text clipped - 18 lines] > >Mel I think so--but M.D. I'm not. You are wise in main- taining your own history. My Uro and PCM (same HMO) consider trend as well as absolute value. They order a followup PSA when the upward shift exceeds 30% in one year or the total PSA is above 2.5 (for white males.) I think this is quite conservative (their 2002 ceiling was 4.0). Regards, "Mike" -- mikeellison3xxxatzzzyahoo.com -- |
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