Anyone have opinions? DRE before or after PSA test.

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wigged-out
Regular Member


Date Joined Dec 2009
Total Posts : 130
   Posted 8/6/2010 10:24 AM (GMT -7)   
Greetings.

It's been a while since participating, but I'm currently doing AS and thinking about options.

I was chatting with a friend about the whole elevated PSA thing and I've decided that for two weeks prior to my next visit to the uro for PSA check, I would make a real effort to do this:

1) no sex- oye.

2) Very easy on the spicy food- no one loves habaneros, peppers, seasoning, garlic more than me, and can take thee heat!

3) Little or no acid drink, in my case OJ with TONS of lemon juice, especially after 5:00PM

4) Cut down on alcohol for those two weeks.

5) Request at the time of appointment to do the blood work BEFORE the DRE.

Now about number 5. Talking with my buddy, he mentioned that just the pressure from a DRE could cause the PSA to elevate some. In my case I've always had my PSA done right after the Doc has his way with me.

Could this be true? I am going to try that, but with everything else I'm doing (1-4) it will be hard to tell if my test confirms this.

Your thoughts?

I wish you all the best.

W-O
Age: 54- good health, physical anyway. Tinkle alot at night- 4-6x's

DRE 11/08- no lumps, just enlarged prostate

1st PSA, total- 11/08= 6.1

2nd PSA, total- 8/09= 6.6 Referred to Dr. J. Hoeksema @ Rush Univ. Med. Center/Chicago

Needle Biopsy 11/09- 12 samples. 11 OK. Right Lateral Mid- Adenocarcinoma Gleason score 3+3=6 9 involving 5% of specimen. Prescribed Flomax for excessive peeing.
Second opinion 1/21/10 with Dr. Gregory Zagaja, Univ. of Chicago Med. Center

3rd PSA, 2/10= 7.9 Still on Flomax, but thinking of stopping as it's not doing much of anything.

4th PSA, 6/10= 7.3 No longer on Flomax due to weird side effects

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4807
   Posted 8/6/2010 10:39 AM (GMT -7)   

So in other words you want to create a false positive shocked   Are you prepared to cut out all the things on your list for years to come?

Me thinks two weeks is probably to long for most of the things on your list...And me also thinks your Doc knows what he or she is doing. The DRE isn't exactly like he's trying th rip the thing out and isn't causing it to drastically change.

 


Age 55   - 5'11"   215lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
11/20/09 - 18 Month PSA -> less then .01
05/18/10 - 24 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


medved
Veteran Member


Date Joined Nov 2009
Total Posts : 1095
   Posted 8/6/2010 11:30 AM (GMT -7)   
You should have the blood draw for the PSA test before the doc does the DRE. There is evidence that DRE can impact the PSA score. There is some chance the DRE would not affect the PSA score -- but you will never know, and why take the chance?
Age 46.  Father died of p ca. 
My psa starting age 40: 1.4, 1.3, 1.43, 1.74, 1.7, 1.5, 1.5
 

wigged-out
Regular Member


Date Joined Dec 2009
Total Posts : 130
   Posted 8/6/2010 11:31 AM (GMT -7)   
Not sure about creating false positives, just curious to see if doing any of these things could lower the PSA result a bit. What's known is that there is a small cancer from the biopsy so that's that.

This was never an issue whether or not the dr. knows what he's doing. I was just wondering if it was ever taken as a suggestion to try the blood work first by anyone, followed by the dre. I could be all wrong, just wondering.

And yes, I SHOULD be cutting out/down on those things, but we've all got stories.

W-O
Age: 54- good health, physical anyway. Tinkle alot at night- 4-6x's

DRE 11/08- no lumps, just enlarged prostate

1st PSA, total- 11/08= 6.1

2nd PSA, total- 8/09= 6.6 Referred to Dr. J. Hoeksema @ Rush Univ. Med. Center/Chicago

Needle Biopsy 11/09- 12 samples. 11 OK. Right Lateral Mid- Adenocarcinoma Gleason score 3+3=6 9 involving 5% of specimen. Prescribed Flomax for excessive peeing.
Second opinion 1/21/10 with Dr. Gregory Zagaja, Univ. of Chicago Med. Center

3rd PSA, 2/10= 7.9 Still on Flomax, but thinking of stopping as it's not doing much of anything.

4th PSA, 6/10= 7.3 No longer on Flomax due to weird side effects

JoeFL
Regular Member


Date Joined Oct 2009
Total Posts : 420
   Posted 8/6/2010 11:36 AM (GMT -7)   
My Uro told me that PSA can be elevated by a DRE. He does the PSA first.

Age -67 PSA - 4.5

Biopsy  (9/4/09) - Positive in 5 of 8 cores. In those 5 cores, 5 of 11 samples were positive. Gleason 3+3=6. Stage – T1C  Ct and Bone scans negative.

 

BT performed on 12/11/09. 84 seeds of Palladium 103. Surgery at 7:30 - Home at 12:30 same day with no catheter. Blood in urine for a week. Side effects as expected -  some burning, frequency, urgency.   Resumed daily  1 ½ mile walk after 3 days. 

 

BT followed with 25 IGRT treatments beginning Feb 15 (4500 Gy's). After third week, experienced some fatigue. Now 2 months from last rad treatment - energy level has returned. Burning gone and urgency is much improved.

 

First post treatment PSA (6/1/10) - 0.1

 


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 3990
   Posted 8/6/2010 1:15 PM (GMT -7)   

Wigged, there is pretty good evidence that your numbers 1 and 5 DO affect the PSA score.  No sex for 48 hours prior to PSA test and drawing the PSA blood before the DRE should give you an accurate reading.  BTW, your doctor should know this from Urology 101...

Tudpock (Jim)


Age 62, Gleason 3 + 4 = 7, T1C, PSA 4.2, 2 of 16 cores cancerous, 27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 4/10/10.  6 month PSA 1.4 and now 1 year PSA at 1.0.  My docs are "delighted"!

wigged-out
Regular Member


Date Joined Dec 2009
Total Posts : 130
   Posted 8/6/2010 1:35 PM (GMT -7)   
Wow. Thanks guys. I wonder if there is some sort of scientific data to back this up, and if there is, where is it.

Yes, I will definitely mention to uro that I want the blood draw BEFORE the butt thing. Another interesting thing, before I even went to a uro for the Pca, my internal med guy would also do the DRE and then I would go to the lab "on my way out" to get the blood draw in the lab.

HMMM...
Age: 54- good health, physical anyway. Tinkle alot at night- 4-6x's

DRE 11/08- no lumps, just enlarged prostate

1st PSA, total- 11/08= 6.1

2nd PSA, total- 8/09= 6.6 Referred to Dr. J. Hoeksema @ Rush Univ. Med. Center/Chicago

Needle Biopsy 11/09- 12 samples. 11 OK. Right Lateral Mid- Adenocarcinoma Gleason score 3+3=6 9 involving 5% of specimen. Prescribed Flomax for excessive peeing.
Second opinion 1/21/10 with Dr. Gregory Zagaja, Univ. of Chicago Med. Center

3rd PSA, 2/10= 7.9 Still on Flomax, but thinking of stopping as it's not doing much of anything.

4th PSA, 6/10= 7.3 No longer on Flomax due to weird side effects

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3726
   Posted 8/6/2010 1:54 PM (GMT -7)   
Blood work first then DRE! There were a few articles going around with data indicating this. I know I circulated a paper about the effect of sex on PSA about 2 weeks ago. It showed the effect over time. If I recall greater than 3 days seemed pretty good.
You are doing the right thing by being consistent.
Jeff
Married 34 years, DX Age 56. First routine PSA test on April 8, 09: 17.8. Start 2 weeks of Cipro to rule out protatitis. May '09 PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, 20%-70%, Gleason 3+4=7, 3+3=6. Bone and C/T scans neg.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next See Uro 1/22/10 Trimix #1. Try 0.08- 25%, 0.12-25%, 2/26/10 try 0.16 First Success! 90%.
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day. Try controlling fluids.
12/11/09 5 months: 3 pads per day, 400-450ml/day
02/26/10 7 months: 3 pads but leak is now 320 ml (5 day avg.)
03/22/10 8 months: 3 pads per day, 280 ml/day (5 day avg.) PT says all muscles are tight and working properly. "There must be another issue."
5/22/10 10 months: 2 pads per day, 190 ml/day Scope on June 15 "Short sphincter"
7/15/2010 one year: 2 pads per day. 140 ml/day, dry in bed.
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04
1/14 6 months - 0.05 (Siemens Centaur)
4/14 9 months - 0.04 (Siemens Centaur) and <0.01 (Roche ECLIA).
7/12 1 year - 0.03 (Siemens Centaur, direct chemilum); <0.01 (Roche Cobas 601 ECLIA)

Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2435
   Posted 8/6/2010 1:57 PM (GMT -7)   
Wigged, try this for back-up, it is exactly what everyone else is telling you. Draw the blood before the DRE.

"Some helpful hints for obtaining a maximally accurate PSA test include: (1) Don�t ejaculate for 2 days prior to having a PSA test as this can raise PSA levels, and (2) tell your doctor if you are taking Proscar, Avodart or Propecia. These drugs, used to treat BPH and baldness, will likely lower your PSA levels. Also, (3) be sure that the DRE is performed after drawing blood for the PSA test, as the DRE can artificially raise PSA levels. Herbal supplements can also affect PSA levels. Be sure to tell your physician about any supplements that you are taking before the PSA test."

Copied from the attached link; http://www.free-press-release.com/news/print-1136043078.html

Sonny
60 years old when diagnosed
PSA 11/07 3.0
PSA 5/09 6.4
da Vinci 9/17/09
Post Surgery Pathology: GS 4+3=7
Stage: T3a
Tumor Volume 12.5%
positive margin, extra-prostatic extension
30 day PSA 0.4, 50 day psa 0.53, 64 day psa 0.6
IMRT completed 1/15/10 35 treatments- 70Gy

2/24/10 FIRST POST RAD PSA 1.0---CARRRP --waiting for the next test.
3/22/10 Second Post RAD PSA 1.5 Dammmmnnn stubborn son of a gun
4/19/10 YAHOO PSA dropped to 1.2 Moving in the right direction.
5/7/10 PSA test 1.3 Sodium Fluoride PET Scan & CT SCAN -performed
5/20/10 PSA test 1.2 Holding off on future tests for 3 months- single lytic lesion found and scheduling radiation.
7/22/10 PSA test 1.3 - Begin radiation for MET on leg

daveshan
Regular Member


Date Joined Jan 2010
Total Posts : 363
   Posted 8/6/2010 2:00 PM (GMT -7)   
If you're tracking PSA from a baseline you should keep the conditions under which the blood is taken as close to the same as possible. I'd keep doing just what you have in the past to keep the tests valid.

As Steve n Dallas said you will be creating false readings.
Diagnosed 12-09 age 55
07-06 PSA 2.5
01-08 PSA 5.5 (PCP did not tell me of increase or schedule follow-up!!!!)
09-09 PSA 6.5 Sent for consult with Urologist
11-09 Consult, scheduled for biopsy, found out about PSA from '08 (yes I was pissed)
12-09 Biopsy, initial Gleason 9 (4+5) later reduced to 8 with tertiary 5, ain't much but I'll take it.
01-10 Bone Scan, "appears negative"
03-01-10 RRP in Durango CO by Dr Sejal Quale and Dr Shandra Wilson, no naked eye evidence of spread, Vesicles and lymph nodes taken for microscopic exam.

03-16-10 Removal of cath' and pathology results of samples.
Multifocal carcinoma with areas of Gleason pattern 3, 4 and 5, Overall Gleason grade 4+4 with tertiary 5, Bilateral involving 21% of left lobe, 3% of right lobe, Invasion of left Seminal vesicle, Tumor focally present at left resection margin, 9 lymph nodes removed all negative, Tumor staging pT3b NO MX

04-23-10 PSA <0.04....... 06-07-10 PSA <0.04..... 08-03-10 <0.04
05-03-10 1 week without pads
06-28-10 ;-)

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25347
   Posted 8/6/2010 2:02 PM (GMT -7)   
i agree with the majority, blood draw first, finger up your bum second
Age: 58, 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, no problem post SRT
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16

Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 3
Latest: 7/9 cath #6 - 41 days, 8/9 2nd corr surgery, 8/9 cath #7 - 38 days, mapped 9/9, 10/1 - 3rd corr. surgery - SP cath, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, Cath #10 43 days, 1/19 - Corr Surgery #4, Caths #11 and #12 ,Cath #11 - 21 days, Cath #12 - 41 days, 3/2- Corr Surgery #5, Cath #13 - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, Cath #17 - 39 days, 7/2 - Corr Surgery #6, Cath #18 - 13 days, Cath #19 - 17 days, Total Blockage, Cath # 20 - 7/19

Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2435
   Posted 8/6/2010 2:03 PM (GMT -7)   
Wigged, I think this one is better for your purposes. It comes from the Prostate Cancer Website and is titled "10 Things That Can Affect A PSA TEST"

www.checktheprostate.com/prostate-cancer-by-the-numbers/10-things-that-can-affect-a-psa-test.html

Sonny
60 years old when diagnosed
PSA 11/07 3.0
PSA 5/09 6.4
da Vinci 9/17/09
Post Surgery Pathology: GS 4+3=7
Stage: T3a
Tumor Volume 12.5%
positive margin, extra-prostatic extension
30 day PSA 0.4, 50 day psa 0.53, 64 day psa 0.6
IMRT completed 1/15/10 35 treatments- 70Gy

2/24/10 FIRST POST RAD PSA 1.0---CARRRP --waiting for the next test.
3/22/10 Second Post RAD PSA 1.5 Dammmmnnn stubborn son of a gun
4/19/10 YAHOO PSA dropped to 1.2 Moving in the right direction.
5/7/10 PSA test 1.3 Sodium Fluoride PET Scan & CT SCAN -performed
5/20/10 PSA test 1.2 Holding off on future tests for 3 months- single lytic lesion found and scheduling radiation.
7/22/10 PSA test 1.3 - Begin radiation for MET on leg

Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 3990
   Posted 8/6/2010 2:09 PM (GMT -7)   

Wigged, if you simply Google "effect of dre on psa" you will see multiple references that back the notion of doing the psa test BEFORE the DRE.  And, I totally disagree with one posters advice to keep doing what you have been doing for consistency...repeating bad process and getting bad information is rarely a good thing.  Start doing it right and get a new and correct baseline....

Tudpock (Jim)


Age 62, Gleason 3 + 4 = 7, T1C, PSA 4.2, 2 of 16 cores cancerous, 27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 4/10/10.  6 month PSA 1.4 and now 1 year PSA at 1.0.  My docs are "delighted"!

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3562
   Posted 8/6/2010 2:12 PM (GMT -7)   
You already know you have PCa...It's not going to get better and go away. What are you waiting for?? For it to metastasize?? You are only 54..See the surgeon..(or R-doc). At this point, your PSA is a side issue.. Just my opinion..
Age today: 68. Married, 6', 215 pounds, active, no health issues.
PSA at age 55: 3.5, DRE negative. Advice, "Keep an eye on it".
PSA at age 58: 4.5
PSA at age 61: 5.2
PSA at age 64: 7.5, DRE "Abnormal"
PSA at age 65: 8.5, DRE " normal", biopsy, 12 core, negative...
PSA at age 66 9.0 DRE "normal", BPH, Finesteride. (Proscar)
PSA at age 67 4.5 DRE "normal" second biopsy, negative.
PSA at age 67.5 5.6, DRE "normal" U-doc worried..
PSA at age 68, 7.0, third biopsy positive for cancer in 4 cores, 3 cores Gleason 6, one core Gleason 9. Finesteride discontinued, still no urinary symptoms, never had any..From age 55 to 65 I had no health insurance.

I have a date with the robo surgeon on Sept 3 but I'm keeping my options open. I'm also looking at seeds combined with IGRT which seems to be having good results with high-risk patients..

zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 8/6/2010 2:19 PM (GMT -7)   
What every doctor and patient should know by Dr. Strum (circa 2003-4 approx.)
www.prostate-cancer.org/pcricms/node/119   Wigged-out- you will be more wigged out in PCa issues sooner than you can believe. 

Has been studied by the informed types, uro-docs make plenty of little errors as mentioned in Dr. Strums piece, all should read. It is ashame that stupidity still prevales in an educated world, some patients know better on some issues than the doc now...incredible.

Other examples common: giving Lupron before taking casodex first to prevent flare (common idiocy still happening), giving biopsies without offering anesthetic (stupid again), not doing proper assessments on patients like nomograms, partin tables and disclosing those odds to the patient before surgery or other treatment (like it doesn't matter). Not giving patients total information on their psa and pathology and other critical info or doing it over the phone (LOL- yeah you have cancer...have a nice day, see ya). It is what it is, education is our friend in PCa.
Youth is wasted on the Young-(W.C. Fields)

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3726
   Posted 8/6/2010 6:27 PM (GMT -7)   
I think you've received enough advice already but I have one more bit for you.

It is best to have the blood drawn a week before your appointment so you have the PSA results in hand - while you are being examined. That way you can discuss both with the doc at the same time.

The method your doc is using is very old fashioned. Does he write the lab order after doing the DRE and just before you walk to the checkout counter to pay?
If you insist upon staying with this guy, ask him to write the order for the next PSA test now. You will get it done one week before the next appointment. That way you can be discussing recent data at the same time as your appointment.

Good luck to you.
Jeff

Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 8/7/2010 4:21 AM (GMT -7)   
Wigged, I was just looking at your signature and frankly am worried about your PSA. A PSA of 7.3 at 54 is high...period (you already know this). Your second post states "What's known is that there is a small cancer from the biopsy so that's that." As you already know, a biopsy yields more of a "best guess" rather than a definitive diagnosis. My husband's biopsy showed 2 out of 10 samples positive with one at 3+3 (30%of the sample) and the other 3+4 (much smaller). "No panic...this is early stage." Well, after surgery, we discovered that the disease was more advanced and had already broken through the capsule in one small area. During our consult with the surgeon (who did the biopsy), he drew a diagram of where he took the 10 samples from and highlighted the one that came back at 3+4...it was very, very close to the edge of the prostate and the surgeon was a bit concerned about this one. My husband's stage at biopsy was T1c; his stage after surgery was T3a. Not uncommon to be upstaged but certainly unnerving.

Not trying to convince you to have surgery or any other treatment for that matter. Just pointing out that the only thing you know for sure is that you have prostate cancer. It's exact nature is not known but can only be guessed at based on the biopsy.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (solitary focus of extraprostatic extension). Perineural tumor infiltration present. Apex margin, bladder neck and SVs negative. Final Gleason 3+4. PSA: 0.0 til July 2009. August 2009 - 0.1, September 0.3, October back to 0.0, December 0.0, March 2010 0.0. Next PSA in 6 months. Thank you God!

daveshan
Regular Member


Date Joined Jan 2010
Total Posts : 363
   Posted 8/7/2010 7:10 AM (GMT -7)   
Artificially changing your numbers is not going to change your disease. You have almost a 2 year baseline your doctor is working with why change the numbers and confuse everything.

mspt98
Regular Member


Date Joined Dec 2008
Total Posts : 368
   Posted 8/9/2010 9:58 PM (GMT -7)   
I have to agree with some of the other paranoid people above. What the heck are you waiting for? Have surgery, radiation, seeds, cryo, hifu or something! How can you live with knowing that cancer is growing inside of you, no matter how slow? What is it spreads and surgery and radiation are no longer options?  I can't believe you can deal with the stress of this disease hanging over your head, I know that I couldn't............
my age=52 when all this happened,
DRE=negative
PSA went from 1.9 to 2.85 in one year, urologist ordered biopsy,
First biopsy on 03/08, "suspicious for cancer but not diagnostic"
Second biopsy on 08/14/08, 2/12 cores positive on R side, 1 core=5% Ca, other core = 25% Ca, Gleason Score= 6 both cores,
Clinical Stage T1C
Bilateral nerve sparing Robotic Surgery on 09/11/08, pathological stage T2A at surgery
No signs of spread, organ contained,
5 0's in a row now, 18 months out
Incontinence gone in early December '08,
ED still a problem, normal erections with manual effort but wife is now ill, not interested in sex anymore

klains
Regular Member


Date Joined Nov 2010
Total Posts : 79
   Posted 1/26/2011 8:41 AM (GMT -7)   
this just happened to my husband . DRE first then blood for PSA. came back 5.2 on that test, the one prior to was done 2 months ago was a 4.4. He will have it redone .

wigged-out
Regular Member


Date Joined Dec 2009
Total Posts : 130
   Posted 1/26/2011 8:47 AM (GMT -7)   
Klains,

Could you tell us how soon AFTER the dre that the psa was checked? Was it minutes, hours, days...?
Age: 55- good health. Exercise regularly.
DRE 11/08- no lumps, just enlarged prostate
1st PSA, total- 11/08= 6.1
2nd PSA, total- 8/09= 6.6
Needle Biopsy 11/09- 12 samples. 11 OK. Right Lateral Mid- Adenocarcinoma Gleason score 3+3=6 9 involving 5% of specimen.
PSA rising from 7.0 to 8.0 thru 2010.
2nd biopsy- 2 positive cores, one a 3+3=6, 3% and the other a 3+4=7, 20%
Treatment needed.
Feb. 2011

klains
Regular Member


Date Joined Nov 2010
Total Posts : 79
   Posted 1/26/2011 9:48 AM (GMT -7)   
this was done right after his office visit, we went downstairs to have the blood for the psa

klains
Regular Member


Date Joined Nov 2010
Total Posts : 79
   Posted 1/26/2011 9:49 AM (GMT -7)   
I forgot to mention this was done by a resident

Carlos.psa
New Member


Date Joined Feb 2017
Total Posts : 1
   Posted 2/19/2017 4:27 PM (GMT -7)   
I am 57, I always do the DRE after the blood draw and my PSA stays at 3.5. Then, six months after the last PSA I made a mistake and I did the PSA 30 minutes after the DRE. The score jumped to 6.0. Next week I am redoing it. I will post the new PSA score.

ASAdvocate
Veteran Member


Date Joined Feb 2015
Total Posts : 655
   Posted 2/19/2017 4:41 PM (GMT -7)   
mspt98 said...
I have to agree with some of the other paranoid people above. What the heck are you waiting for? Have surgery, radiation, seeds, cryo, hifu or something! How can you live with knowing that cancer is growing inside of you, no matter how slow? What is it spreads and surgery and radiation are no longer options? I can't believe you can deal with the stress of this disease hanging over your head, I know that I couldn't............


I completely disagree. Eight years on AS, with no progression, and I sleep well at night, knowing that my PCa is under close watch, while avoiding all the side effects of treatment.

Here is some useful reading, from one of this board's prominent members:

https://prostatecancerinfolink.net/2016/07/07/can-a-man-be-too-young-for-active-surveillance/
DOB: May 1944
In AS program at Johns Hopkins
Five biopsies from 2009 to 2014. The third and fourth biopsies were positive with one core and three cores <5% and G 3+3. Fifth biopsy was negative.
OncotypeDX: 86 percent chance of PCa remaining indolent
August 2015: tests are stable; no MRI or biopsy this year for my AS program
August 2016: MRI unchanged from 2/2014; PSA=3.9; FPSA= 26; PHI =28

Post Edited (ASAdvocate) : 2/19/2017 4:45:32 PM (GMT-7)

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