At 38 the probability is that your elevated PSA is due to causes other than prostate cancer. It is quite amazing that even urologists ignore the protocols involved in PSA testing. This means do not stimulate the gland before taking blood to determine what the PSA level is. No sex, avoid putting pressure on an area that may press the gland (riding a bicycle etc)....... and I would have thought the bleedingly obvious......not shoving the gland about
with a digit, gloved or not. Enlargement, infection etc. will all elevate PSA. Together with your doc it is best to eliminate the more obvious, benign causes before assuming a tumour.
Best of luck,
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007 Post-op
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct '07 <0.1 undetectable
PSA Jan '08 <0.1 undetectable
PSA April '08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August '08 <0.001 undetectable (disregarded due to lab "misreporting"-----it is not possible for any lab to get a reading of less than .003) Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September '08 <0.01 (new lab)
PSA February 09 <0.01
PSA May '10 <0.01www.yananow.net/Mentors/BillM2.htm
Never underestimate old people ............ you don't get to be old by being stupid.