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Regular Member

Date Joined Apr 2008
Total Posts : 140
   Posted 12/29/2008 4:57 PM (GMT -6)   
I'm a 60 year old guy who has had his PSA checked with accompanying DRE on a yearly basis.  I have also had BPH for a number of years and even entertained the idea of having the green light laser treatment because I feel like one of those guys in a Flomax Commercial.  I entertained the idea of the green light laser three years ago, and I had the scope inserted in my urethra all the way to my bladder. After this exam, I opted for a Flomax Prescription instead.  I never filled the prescription.  Reviewing my bloodwork, I see my PSA was 1.4 in May 2001.  It has made small northward steps since then and was 2.8 in October, 2008.  A couple of times it retreated southward by a few tenths.  In November, 2008, I had Nissen Fundoplication Surgery so I was under general anesthesia for a few hours.  After the surgery, I was having difficulty urinating, and this lasted for a couple weeks.  On December 23rd, I had my PSA tested at the local VA hospital and it was 4.56!!! My physican performed a DRE and said the prostate was soft with no bumps or nodules.  What the heck is going on?  I'd like to think this was a lab error, for how could my PSA rise from 2.8 in October to 4.56 two months later?  I certainly know I had sex in the 24 hours proceeding the test, and I recently learned this is not advised by reading many entries in this forum.  My physician said I could have my PSA retested in a couple months, but I said, "how about a couple of weeks?"  So it looks like I'll be tested in the next week, and I'll take a 48 hour sex break before giving blood.  I'd just like to know what readers of this forum think about such a PSA spike.  Could the general anesthesia I received on November 20th and my difficulties urinating after the surgey have caused such a spike, or does it appear more likely to be a lab error or possibly prostate cancer?  I guess only further testing will provide an accurate answer. 

Regular Member

Date Joined Feb 2008
Total Posts : 467
   Posted 12/29/2008 5:20 PM (GMT -6)   

As you said, it could be many different things, including infection.

My PSA rose 5.4 points in 3.5 weeks, but then again, I was/am a cancer patient.

I realize you are concerned, but you are doing the right things.  Get it checked again and if still up, ask the doc about infection being a factor.

Best of luck to you.

Dan Man

Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology results - cancer confined to the prostate
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, nine month PSA 0.1, 13 month PSA 0.4 (recurrence was likely due to very high Gleason, even though margins were deemed clear after surgery)
Radiation using Calypso Localization System to begin in January 2009

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