PSA before and after cardiac stents

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brainsurgeon
Regular Member


Date Joined Jul 2009
Total Posts : 137
   Posted 12/27/2009 6:01 AM (GMT -6)   
http://www.urotoday.com/index.php?option=com_content&task=view_ua&id=2226510

Worth knowing if you have to have a stent.
70 years old (1939) USA citizen
Prostatic carcinoma dxed June 2009 by PSA (7.0) and then Bx
PSAs yearly since 2001 ranged 1.52 to 7.0
Neg. CT and BS
4 of 8 biopsies positive (all right side) Gleason Score 3+4=7
Robotic assisted total prostatectomy and node excision July 2009 in Luzern, Switzerland by Dr. Mattei in the Kantonsspital
pT2c G3 pN0 (0/14)
Catheter out in 5 days (home in 3 days)
No incontinence
Potency: beginning tumescence??? at 3 weeks post-op. Still happens at 3 months PO. Nearly usable one month later.
3month PSA less than 0.01


Geebra
Regular Member


Date Joined May 2009
Total Posts : 476
   Posted 12/27/2009 7:41 AM (GMT -6)   
Hmm... Interesting. But they are not evenventuring a guess to explain this or tell why they decided to measure PSA in a first place.

geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 12/27/2009 11:08 AM (GMT -6)   
Geebra asks why they did this study -- here is a section from the article (translation from the German by Google)

"In recent years, a relationship between PSA levels and cardiovascular conditions has been described.. It has been reported that prolonged cardiopulmonary resuscitation is frequently associated with increases of PSA serum level. Cardiogenic shock due to acute myocardial infarction diogenic shock due to acute myocardial infarction and coronary artery bypass surgery are associated with a rise in serum PSA. Therefore, the results of the previous studies suggest that PSA cannot be used for diagnosis of adenocarcinoma of the prostate during the first few weeks after these events"

So the answer is that it is fairly well known (the author gives 6 references) that there is a relationship between cardiac conditions and PSA level. If you have both, you may want to find a doctor who is knowledgeable about this.
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 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 12/27/2009 11:13 AM (GMT -6)   
Well...if all of this was done in house (in hsopital) then a cath was likely placed. I would expect prostate manipulation to happen thus, a rise in PSA.
 Hilarem datorum diligit Deus


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 12/27/2009 11:30 AM (GMT -6)   
Swimom -- the patients studied were cardiac patients, not PCa patients. Any catheter used was in or near the heart -- a completely different device than the catheter used to drain the bladder.
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 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 12/27/2009 11:31 PM (GMT -6)   
OOPS..should have read better. Thought I saw a cath too...as in uro. I've watched many a cardiac cath being done.
 Hilarem datorum diligit Deus

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