high psa and exercise

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johncaelen
Regular Member


Date Joined Jan 2013
Total Posts : 89
   Posted 2/25/2013 9:55 PM (GMT -6)   
Im not sure this matter cause my psa has been high for a wile but the night before my physical I went to the gym and in a effort to help my gluclose level I lifted weights. In the middle of the night I could not urinate and I realized I had done hip abdution resistance. You spread your legs and pull your legs together and seperate them. I didnt ride the bike on purpose, I am wondering if I could have raised me psa with the hip abduction because I had been having no problem going to the bathroom. ANY THOUGHTS?

HighlanderCFH
Veteran Member


Date Joined Dec 2012
Total Posts : 674
   Posted 2/25/2013 10:13 PM (GMT -6)   
If any of those exercises could naturally put any stress on the prostate, it certainly could temporarily elevate the PSA. If this was anything akin to riding on a bicycle, etc., it sounds probable. Otherwise, if these are just regular exercises without such an effect, it probably would not make any difference.

Hmmmm, I guess that wasn't exactly a definitive answer, eh? LOL

Chuck

Resident of Highland, Indiana just outside of Chicago, IL.
July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA Sept. 2011 was 5.7.
Local urologist DRE revealed significant BPH, but no lumps.
PCa Dx Aug. 2011 at age of 61.
Biopsy revealed adenocarcinoma in 3 of 20 cores (one 5%, two 20%). T2C.
Gleason score 3+3=6.
CT of abdomen, bone scan both negative.
DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
My surgeon was Dr. Matthew Tollefson, who I highly recommend.
Final pathology shows tumor confined to prostate.
5 lymph nodes, seminal vesicles, extraprostatic soft tissue all negative.
1.0 x 0.6 x 0.6 cm mass involving right posterior inferior,
right posterior apex & left mid posterior prostate.
Right posterior apex margin involved by tumor over a 0.2 cm length, doctor says this is insignificant.
Prostate 98.3 grams, tumor 2 grams. Prostate size 5.0 x 4.7 x 4.5 cm.
Catheter out in 7 days. No incontinence, occasional minor dripping.
Post-op exams 2/13/12, 9/10/12, PSA <0.1.
Semi-firm erections now happening 14 months post-op & slowly getting a bit stronger.

Gasman1
Regular Member


Date Joined Jan 2013
Total Posts : 66
   Posted 2/26/2013 5:38 AM (GMT -6)   
cycling has never been shown to increase PSA.
most studies show it makes no difference.

my highest PSA was 5.3. i was cycling on hard tiny seat 6-10 hours a week.
i stopped for two weeks just to see and it went to 5.1.
so marginal effect.

now prostatitis from infection is a different story and can really bump the PSA.

hope that helps.

dave
2/10 PSA 2.75 55 years old , 4/11 PSA 3.73, 5/12PSA 5.31
11/12biopsy Gleason 3+4 56 years old (r base only) , 40% one specimen
12/12 LARP 48 gm, cancer both lobes, pT3a extraprostatic extension R base, margins 2mm negative for ca.
gleason 4+3. lymph nodes negative (2)
Cath out 7 days post-op, +incontinent , + ED
Awaiting tumor board recommendation on RT
1/11/2013 dry in morning.
2/10/13 PSA .002

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 5844
   Posted 2/26/2013 9:00 AM (GMT -6)   
Most uros I know believe that cycling and sex should be avoided for the 48 hours before a PSA test.
 
 
Moderator - Prostate Cancer
(Not a medical professional)

DaVinci 10/2009
My adjuvant IGRT journey (2010) -
www.healingwell.com/community/default.aspx?f=35&m=1756808
HT (Lupron) 6-mo injection 9/12;Prolia 6-mo inj 12/12

English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2066
   Posted 2/26/2013 9:21 AM (GMT -6)   
This issue of course applies to guys who still have a prostate in them, as it is due to something physical or medical that is able to have an effect on the actual gland.

I'm no doctor, but my understanding is that cycling, horse riding, motorbike trips etc within 48 hours before blood is taken all make the PSA go up, but only by a little. There are also pieces of gym equipment where you have to sit astride a seat like a saddle that could have a similar effect, it may only be a small effect, but anything that disorts the true picture is IMO not a good idea.

Other things in the 48 hour window that make the PSA go up are having sex or having a DRE. This has a slightly bigger effect I believe

An infection may affect your PSA a lot and do so for as long as 6 months.

A biopsy also affects PSA (mine went up from about 8 to about 13 in a week), and the effect of a biopsy can last for at least 6 weeks.

The worst case scenario is thus that someone has an infection and they had a biopsy a month ago and rode their bike yesterday and had sex last night and had a DRE in their uro's office this morning and finally had bloods taken this afternoon. That combination might add up to a big effect on their PSA.

Many guys at HW have found that they feel most comfortable having a regular routine just before having blood taken to help eliminate these kind of factors. Some of us even like to sticking to having blood drawn at the same time of day each time.

Alf

PeterDisAbelard.
Forum Moderator


Date Joined Jul 2012
Total Posts : 3697
   Posted 2/26/2013 11:38 AM (GMT -6)   
It sort of depends why you are doing a PSA test. All of those things make a small difference in the reading but in many cases that difference doesn't change anything. If you are just screening -- rounding up a bunch of men and giving them PSA tests -- then the categories of results are so broad that the difference won't change your thinking about any of them. Even if you have some sort of cut-off (say you follow up anything 4.0 and above and a DRE moves a man from 3.9 to 4.1 so he gets followed up) it is arguable that the 4.0 cut-off was arbitrary and there is very little damage done by following up a man with a PSA of 3.9 even though it is, technically, under the threshold.

But broad PSA screening is controversial these days. Some argue it leads to needless anxiety and overtreatment. For the less-controversial uses of the PSA test those small differences can be important. For monitoring men suspected of having PC or for surveillance of men who are watching low-risk disease the small changes in PSA can be important.

So if your PSA test was part of an annual physical I wouldn't worry too much about the minor affect that the gym may have caused.
60
Slow PSA rise 2007-2012: 1.4=>8
4 bxs 2010-2012:
1)neg (some inflammation),
2)neg,
3)positive 1 of 14 GS6(3+3) 3-4%, 2nd opinion GS7(3+4)
4)neg.
Mild Pre-op ED
DaVinci RRP 6/14/12. left nerve spared
Path: pT3a pN0 R1 GS9(4+5) Pos margins on rt
Start 24 mo ADT3 7/26/12
Adjuvant IMRT 66.6 Gy 10/17/12 - 12/13/12
Leaky but better, Trimix, VED
Forum Moderator - Not a Medical Professional

johncaelen
Regular Member


Date Joined Jan 2013
Total Posts : 89
   Posted 2/27/2013 10:32 AM (GMT -6)   
Sorry for lack of info, but I thought this thread would go with my last one. My last three psa's have been 8.4, 8.55 and last week was 8.14 with a free psa of %22. I am being wathced by John Hokins brady Inst. I have had about 7-biopsy and my last biopsy Feb, 2012 they did a saturated biopsy (30 cores) and found no cancer but they keep finding a-typical cells. I just got off of the phone with my doctor and he wants me to have a mri of my pelvic area. He said if they see any abnomalitys they will have a biopsy otherwise I guess they wont. I guess my question would be should I be scared since he asked for a mri of my pelvic area before any cancer was found or is that a normal precedure?????????????/ Any answers are appreciated

PeterDisAbelard.
Forum Moderator


Date Joined Jul 2012
Total Posts : 3697
   Posted 2/27/2013 11:45 AM (GMT -6)   
Sorry John, I usually try to read back through a guys last few posts before I pitch in but I obviously forgot this time. You are one of the guys with more biopsies than me. I remember reading your thread.

I still think that some people here worry too much about what they do before they have their blood drawn for a PSA test. There are things that affect the values a little but there are so many of them that you have to either wrap yourself in cotton batting for a week before the test or just go ahead with your life and figure that things will average out. I do think that blood should be drawn for a PSA before the DRE and that you should either avoid sex for 48 hours before, or tell your doctor so he can take it into consideration (I mean, emergencies do happen, sometimes... if you're lucky.)

As for the MRI it's sort of the 'new' normal in your situation. Your PSA and free PSA scores continue to suggest that there might be something going on but biopsies just aren't finding it. That's why your seventh biopsy was a saturation biopsy. Sometimes those will find something that no number of regular biopsies will find. And sometimes a MRI will show things that a saturation biopsy might miss.
60
Slow PSA rise 2007-2012: 1.4=>8
4 bxs 2010-2012:
1)neg (some inflammation),
2)neg,
3)positive 1 of 14 GS6(3+3) 3-4%, 2nd opinion GS7(3+4)
4)neg.
Mild Pre-op ED
DaVinci RRP 6/14/12. left nerve spared
Path: pT3a pN0 R1 GS9(4+5) Pos margins on rt
Start 24 mo ADT3 7/26/12
Adjuvant IMRT 66.6 Gy 10/17/12 - 12/13/12
Leaky but better, Trimix, VED
Forum Moderator - Not a Medical Professional

johncaelen
Regular Member


Date Joined Jan 2013
Total Posts : 89
   Posted 2/27/2013 12:16 PM (GMT -6)   
thanks for your response, i have excepted that i probobly have pc my concern is the cancer escaping the prostate. when the doc said to have mri i got scared that he thought can.cer might be out of prostate so your response helped thank you got a young son so i cant go anywhere yet
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