Hello, I just found this forum - got here through a Google search after spending days researching prostate issues. Here's my story.
I'm 53 and in fairly good health. I went in for a yearly checkup and the PSA came back 4.2. It had been 1.4 15 months earlier. I was referred to a Urologist who I saw 3 weeks after the first test, who did the DRE and another PSA test after the DRE - came back 3.8 (different lab).
The Dr.said the prostate was 'smooth' upon DRE but enlarged. He was more concerned about the 300% PSA increase from 15 months ago. But, I have since learned that several things were not told me before either PSA. Such as:
Exercise, Sex, no DRE in the prior 72 hours before the PSA. I exercised, had sex, and drank lots of coffee within 24 hours of each test, and the DRE 30 minutes before the second test.
Also, I understand you should allow 6 weeks before repeating the test. It was only 3 weeks.
Now -- I don't have any of the urination issues, or other symptoms that you might expect. However, I do get frequent twinges, aches in the prostate area and groin, a general weird feeling there and infrequently a very brief knifelike pain up the rectum in that area. Used get them sometimes when younger after having been aroused but not satisfied :) I have had these things off and on for many many years as long as I can remember. Maybe a little more recently, but then again I'm thinking about it. The Dr. said riding a bicycle can cause the PSA elevation. I don't bike but I do some serious rowing at home and the seat is hard like a bike. I have noticed that the aches are a bit more after rowing. Coincidently, I started rowing in the past year.
The Dr. wants to do a biopsy. He is a local Dr. in Fredericksburg Va. Do you think I should shop around? I don't know that he has that much experience, he's young and does pediatric work. Can anyone recommend someone in the DC, Northern Va, Maryland area?
Should I need to go the next step -- does anyone have information comparing results of the Da Vinci vs the Cyberknife? Are they the best? I just learned about both. I'm more concerned about continence if it comes to that then ED. In the same geographical area --- would anyone recommend someone for either of those procedures? I could travel too. Just trying to research and get my ducks in order.
I have a consult 10/31 and the Dr. wants to schedule the biopsy.
Sorry for the long winded post -- I have a lot to get off my chest and right now my mind is spinning. Thanks for any help...JR