First Uro appt complete

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Regular Member

Date Joined Dec 2009
Total Posts : 90
   Posted 2/18/2010 5:31 PM (GMT -6)   
Thank you for all the advice and I did print off a big list of questions. The uro was very professional, my age and had a waiting room full of people. I knew my time was limited, but I will pick my places. So we had a chat about why I was referred "duh" and I did not tell him about all my friends here and how well versed I was by all of you folks. So he did a DRE as expected. He was curious as to if Iwas just having discomfort or if it was painful. Both DRE's I have had felt like someonne was scrapping a nail against my skin. He said that indicated an inflamation. However with my elevated psa and low free psa ratio he has recomended a biopsy My dre other than that was normal, no hard spots etc .My wife came to the appointment We are at the kitchen table, talked about love, life, health and sex. She tells me we are all good, willing to work through it all, newlyweds, only for 4 years. May the force be with us. So as expected, I wil have a biopsy in a couple weeks, uro says he is confident that if it is pc then it will be confined to the prostate based on DRE and psa #s. He said I was  type A personality, my wife agrees. I will post my scores when available. The kicker which I knew from research was the low free psa at 4%, he agreed with me. I have to do a at home enema? My wife wants advice on that. You can't do that one ALONE CAN YOU????????
47 Year old male, smoker, healthy
Routine physical May 12, 2009, PSA 4.12
Follow up PSA October 27, 2009, PSA 4.61 / Free PSA 4% (Not good)
Referral to Urologist Feb 18, 2010
Follow up PSA January 7, 2010, PSA 3.95, Free PSA 4% (still not good)

Regular Member

Date Joined Nov 2009
Total Posts : 98
   Posted 2/18/2010 5:36 PM (GMT -6)   
You can get a Fleet disposable enema kit (under $2) and you can do it yourself at home. I'll spare you the details but it's very intuitive and, in my case, it worked almost immediately. One word of advice, position the bottle so you get the fluid in exclusive of any air, or just squeeze the air out of the bottle beforehand.

Elite Member

Date Joined Oct 2008
Total Posts : 25355
   Posted 2/18/2010 6:08 PM (GMT -6)   
So you will be set for a biopsy, good luck on that.

As far as the enema goes, one can do it alone, be easier if your wife would help. My wife is a nurse and is was standard routine for her to assist.

Please keep us posted.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days

Veteran Member

Date Joined Sep 2009
Total Posts : 639
   Posted 2/18/2010 6:37 PM (GMT -6)   
Hay Mr Newtopc
My younger brother who just turned 47 this past December is having the dance with Mr. Robot on the 24th of this month.  I surly hope that your bxy is negative and that we never see you again.  However if you get some bad news send me an e-mail and I'll keep you up to the recovery of my Bro.
Best to you and yours
Age 51, PSA 08/31/2009= 6.8, DRE Neg.
Biopsy 9/24/09 =10 of 12 positive. Gleason 6. involving up to 75%
da Vinci at Wash U, Barnes on 11/02/09
Modified Pathology, Gleason 4 + 3 = 7. Gleason 7 present throughout Prostate.  Negative surgical margins
4 of 4 periprostatic Lymph Nodes Negative, 10 of 10 pelvic Lymph Nodes Negative. Seminal Vesicles tumor free. No prostate extension
Post-op PSA 12/10/2009, Undetectable
12/12/2009, Pad Free and Started jogging.

Regular Member

Date Joined Dec 2009
Total Posts : 346
   Posted 2/18/2010 7:28 PM (GMT -6)   
Hope your biopsy is negative, enema is no big deal it's just a little squirt bottle you insert in, wait about 5 min. you will know when it,s time to go.
Good luck,
age 45
psa 3.09
Biopsy results 12/9
Left side base 3+3=6 21% 2/2 cores positive
Left side mid  3+3=6 100% 2/2 cores positive
Left side apex 3+4=7 88% 2/2 cores positive
Right side - 0/6
CT & Bone scan negative
Davinci Feb. 5th 2010/ cath removal 2/16
Extent of tumor-Bilateral
Extraprostatic Extension-Absent
Seminal Vesicles-Negative for tumor
Surgical Margins-Rt apical margin focally positive
lymphovascular invasion-Suspicious in areas of capsular involvement
Regional lymph nodes-One node negative
Stage-T2c NO MX

Regular Member

Date Joined Aug 2008
Total Posts : 328
   Posted 2/18/2010 7:32 PM (GMT -6)   
Good luck, kepp us posted. Would recommend if they offer a sedatiyve taken before it. I wish they offered it to me.
Youlll do fine, battle through!!!
Age Dx 37, 7/2008, First PSA : 4.17 5/2008
Second PSA After 2 weeks of antibiotics : 3.9 6/2008
DRE: Negative 5/2008, Biopsy: 6 out 12 Postive all on right side, Gleason 7 (3+4). Bone Scan/CAT Scan: Clear 7/2008
Cystoscope: Normal 7/2008, Prostate MRI: Normal 7/2008
Da Vinci Surgery 7/2008, PostOp: T2c (On Both sides), margins clear, seminal clear, nodes, clear. Gleason 6(3+3).
5 Post OP PSA's from 9/2008 to 12/2009: <0.1

Ed C. (Old67)
Veteran Member

Date Joined Jan 2009
Total Posts : 2457
   Posted 2/18/2010 8:29 PM (GMT -6)   
Good luck newtopc, I hope your biopsy is painless and the result is negative for pc.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm in circumference.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 4 months
8 weeks PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1
8 months PSA test 10/9/09 result <0.1
11.5 months test 1/21/10 result 0.004

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