completed first round of antibiotic

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OKboy
Regular Member


Date Joined Apr 2009
Total Posts : 55
   Posted 7/19/2009 10:01 PM (GMT -6)   
Negative biopsy done on 6/5/09. Prescribed 3 week regimen of sulfa-trim and 2400 mg daily of ibuprofen after path report indicated prostatitis in 3 of 12 cores. Burning and groin pain disipated toward end of three weeks and for a week thereafter. Occasional burning and probably every other day pain in groin has returned. Supposed to go in for PSA retest on 08/10/09. Should I request another antibiotic before retest? Thanks for any advice.
DOB=March 1959
PSAs: 10/05=1.2; 10/06=1.22; 12/07=1.68; 08/08=1.5; 12/08=1.93; 04/09=2.9; 04/09retest=3.4; %fPSA=15%; 05/13=3.17; 5 DRES=neg.;
06/09 Biopsy=12 benign cores, 3 cores show prostatitis.


london2000
Regular Member


Date Joined Jun 2009
Total Posts : 36
   Posted 7/20/2009 6:37 AM (GMT -6)   
I'm not a medic, but have you had your urine tested since you completed the antibiotic treatment to see whether any bacteria or leucocytes are present that might indicate continued infection?

In any event, I think it best you consult with your doctor to see what he recommends.

Roger
Diagnosed with PCa in April 09, aged 59. PSA 9.5 ng/mL, Gleason 3+3, 3/8 cores positive on biopsy.

Had laparoscopic radical prostatectomy in 21 May 09. Histopathology raised Gleason score to 3+4 but cancer confined to capsule with surgical margins being negative. Stage T2c. Nerves spared.

Catheter removed on 4 June 09. Currently coping with incontinence issues, but making progress!


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 7/20/2009 6:57 AM (GMT -6)   
I would say don't wait for your appointment but call your doctor now. My guess is that they will have you come in for a urine test. Unless your infection is something special they do the test in the office and have the results in about ten minutes.
Good Luck
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4188
   Posted 7/20/2009 2:23 PM (GMT -6)   
OKboy,
It is important to keep alll of your psa tests and track them over time. The more and longer the better. PC has a definate pattern that is different from infections. A steady increase over time is indicative of PC. A psa that jumps around with no pattern is usually due to infection.
JT

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DX BPH and continue to get biopsies yearly. Positive Biopsy in 10-08, 2 cores of 25, G6 less than 5%. Scheduled Surgery as recommended.

2nd Opinion from Dr Sholtz, an Oncologist said DX wrong, path shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G 4+3 approx 2.5cm diameter.

Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and burining urination. Daily activities resumed day after implants.

Scheduled for 5 weeks IMRT in July

JohnT

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