Question about PSA after TURP

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packfan11
New Member


Date Joined Apr 2011
Total Posts : 15
   Posted 5/9/2011 6:56 AM (GMT -6)   
My husband is still awaiting biopsy results from April 29. I just recently read online that the psa is understated after a TURP. It said that for treatment purposes the psa would be doubled. For example if the psa was 5, and you had a TURP performed the correct psa would be 10. Does anyone know if this is true? His pre biopsy info is PSA-10.44, DRE-abnormal, testosterone-214 and transrectal ultrasound showed area of "concern".  TURP performed 9/2009 and biopsy came back negative at that time. Thanks much!

logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 2676
   Posted 5/9/2011 2:33 PM (GMT -6)   
Never heard of that one and will just say upfront that is not true. the only time I hae heard of needing to double psa is when you are on medication for BPH etc, avodart, finesturide
Diagnosed 8/14/09 psa 8.1 66,now 67
2cores 70%, rest 6-7 < 5%
gleason 3+ 3, up to 3+4 @ the dub
RPP U of Wash, Bruce Dalkin,
pathology 4+3, tertiary5, 2 foci
extensive pni, prostate confined,27 nodes removed -, svi - margins -
99%continent@ cath removal. 1% incont@gaspass,sneeze,cough 18 mos, squirt @ running. psa std test reported on paper as 0.0 as of 12/14/10 ed improving

robertC
Veteran Member


Date Joined May 2011
Total Posts : 947
   Posted 5/9/2011 2:35 PM (GMT -6)   
I never heard of that personally.
(I have heard of that in regard to Proscar and Avodart taken for prostate enlargement.

Hope the pathology report is good.

packfan11
New Member


Date Joined Apr 2011
Total Posts : 15
   Posted 5/9/2011 3:05 PM (GMT -6)   
I really appreciate the responses. The article basically stated that a man that was diagnosed with PC after having a TURP should be treated more agressively because had he not had the TURP his PSA would have been higher since the TURP cuts out part of the gland (I think my husbands was about 40% removed) and lowers the PSA. The size before TURP was like 40 grams and now it is between 20-25 grams. It said this information should be factored when deciding the treatment plan along with gleason, DRE, PSA, etc. I hope I will never need this information but I was just curious after reading that. We should have the results any day. Does it usually take longer than a week? It's been 10 days and the waiting is so difficult.

robertC
Veteran Member


Date Joined May 2011
Total Posts : 947
   Posted 5/9/2011 3:55 PM (GMT -6)   
The urologist at the time got the report after 7 days but did not call me. I got the results when I went in for my followup exam, 2 weeks later.

logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 2676
   Posted 5/9/2011 4:22 PM (GMT -6)   
Every place is different, mine was in within 48 hours. On the psa front, the " logic " seems to make sense in the article. However My "logic " and I beleive it to be valid is if the prostate is 40 % smaller it will put out less psa because..... the prostate is smaller, period. Have a talk with your doctor, and demand the results. It does not take that long for them to get the results. It just takes them that long to get them to you, cause ther'e Impawtant. Why are so many people afraid of these guys/ girls, they are working stiffs like the rest of us, we just elevate them for no good reason.
Diagnosed 8/14/09 psa 8.1 66,now 67
2cores 70%, rest 6-7 < 5%
gleason 3+ 3, up to 3+4 @ the dub
RPP U of Wash, Bruce Dalkin,
pathology 4+3, tertiary5, 2 foci
extensive pni, prostate confined,27 nodes removed -, svi - margins -
99%continent@ cath removal. 1% incont@gaspass,sneeze,cough 18 mos, squirt @ running. psa std test reported on paper as 0.0 as of 12/14/10 ed improving

logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 2676
   Posted 5/9/2011 4:29 PM (GMT -6)   
All things being equal, with the smaller prostate. However a high psa is arguably " worse " in a small prostate, than the the same number in a bigger prostate. Take note Nomagrams do not consider size, re. psa. mine was 29 grams and 8.1. What me worry???
Diagnosed 8/14/09 psa 8.1 66,now 67
2cores 70%, rest 6-7 < 5%
gleason 3+ 3, up to 3+4 @ the dub
RPP U of Wash, Bruce Dalkin,
pathology 4+3, tertiary5, 2 foci
extensive pni, prostate confined,27 nodes removed -, svi - margins -
99%continent@ cath removal. 1% incont@gaspass,sneeze,cough 18 mos, squirt @ running. psa std test reported on paper as 0.0 as of 12/14/10 ed improving
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