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Medical Forum / Diseases and Disorders / Prostate Cancer / February 2005My father just got a PSA 6. And he will go..
to a urologist. He told me he probably will do a bypass test to see whether it is cancer. Does anybody know this test? Is there any risk for doing it? Thanks for sharing! L Sorry, I meant Biopsy. Thanks. > to a urologist. He told me he probably will do a bypass test to see > whether it is cancer. Does anybody know this test? Is there any risk > for doing it? I'm surprised that the uro apparently did not outline the test procedure and other details. I've had two biopsies. Requested and got anasthesia; suggest L's father do the same. There is little or no risk. An antibiotic such as Cipro will probably be prescribed for a few days prior to and after the procedure. Using an ultrasound probe in the anus for guidance, the medic will insert needles into the prostate. Should be 12 of them. They will take specimens which will be sent to a pathology lab for evaluation. The result will tell what the Gleason score is. The lab report MUST be verified by a specialist lab. The uro should know of them if he's capable. The Gleason score will be the guide for anything that follows, so its accuracy must be assured. Regards, Steve J Steve, Thanks for the reply. My father has not gone to the uro yet. It was his primary physician that told him that he would very likely undergo a Biopsy precedure, which we knew nothing about. So it seems that there are 3 types of Biopsy, transurectal, transurethral, and transperineal. So based on what, would they decide which one is the right one to go? You know, he probably will know all these once he talks to his uro. But he is a little nervous, so I am doing this research for him and know a little ahead of what we will be facing. Thanks a lot! Lee > Steve, > [quoted text clipped - 5 lines] > transurethral, and transperineal. So based on what, would they decide > which one is the right one to go? In the US, the rectal one is almost always used. That is because the great majority of prostate cancers are found in the peripheral regions of the prostate, and these are hard to access through the urethra. The urethral method is often used incidentally to a procedure whose purpose is to open a partially blocked urethra. I don't know when a perineal method would be used; perhaps when there are some problems going through the rectal wall. You don't say why your father's doctor recommended a biopsy. It could be either because he felt something when examining the prostate through the rectal wall or because of abnormal PSA readings. You don't don't say anything about your father's age or state of health. If he is old enough or in poor health. there may not be much point in aggressively treating a possible prostate cancer. > You know, he probably will know all these once he talks to his uro. But > he is a little nervous, so I am doing this research for him and know a [quoted text clipped - 3 lines] > > Lee The reason his doctor recommanded the Biopsy was because his PSA is 6 after he did his anual physical a few days ago. And his PSA was 1.4 4 years ago. His doctor said he didn't feel anything when examing his prostate or called Digital Rectum Exam. He is 68 and in good health. He started feeling uncomfortable when urinating a few months back. Then it was okay after some Antibiotics. Now it revealed an elevated PSA, so the doctor recommanded the biopsy. >to a urologist. He told me he probably will do a bypass test to see >whether it is cancer. Does anybody know this test? Is there any risk [quoted text clipped - 3 lines] > >L Just had my second biopsy. Once they actually start it takes less than 5 minutes. It is unpleasant and uncomfortable but not really painful in any serious sense. More like pinching. It sounds worse than it really is. I've had dental work that was worse. The uro had me take a Levaquin the morning of the procedure along with a Fleets enema. He gave me an injection in the butt with another antibiotic just prior to starting. I took one Levaquin daily for the next 3 days. Fortunately, results were again negative. If the uro recommends a biopsy, your dad needs to do this. The best treatment for prostate cancer is early detection. That's the time when you have the most effective options. FWIW YMMV DFB "When a legislature undertakes to proscribe the exercise of a citizen's constitutional rights it acts lawlessly and the citizen can take matters into his own hands and proceed on the basis that such a law is no law at all." - Justice William O. Douglas I really sympathetic with you. first go and buy yourself very good book from Henefert MD http://survivingprostatecancerwithoutsurgery.org/cure.php It is worthed tom read it explains many mythts and misconceptions. You will also find that last year there was article published in Journal of urology about PSA test and its validity in conclusion they said that it detects that prostate is enlarged but does not gurantee that your father has cancer.. Happy reading Jan >> to a urologist. He told me he probably will do a bypass test to see >> whether it is cancer. Does anybody know this test? Is there any risk [quoted text clipped - 23 lines] > his own hands and proceed on the basis that such a law is no law at all." > - Justice William O. Douglas  SignatureUsing Opera's revolutionary e-mail client: http://www.opera.com/m2/ Thanks, Jan, for the information. |
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