Trevor T. said...
Why are they suggesting a saturation biopsy? You've only been diagnosed with PIN in one core. Saturatuin biopsies are very invasive and require a general anesthetic. You really need to find a new urologist. Go to Northwestern and see someone there, but not just anyone. Do research first and pick who you want to see. Be strong and make sure you do not let Nortwestern assign you a doctor. In the alternative, make the five hour drive to Mayo.
At this point, you want someone who is an expert in prostate relAted issues - a specialist. I'm not an expert or a physician, but I would think that you need a 12 or 15 core needle biopsy from someone who does many of these. Make sure you ask before hand about
a local anethetic and a seditivelike Valium if you're truly frightened based on your last experience.
But please, dump this urologist and go to a cancer center. You're fortunate to bin Chicago. You have many convenient choices. And, ideally your urologist will not be the same person who performs the surgery should you need treatment and select surgery.
No you are obviously not an expert. A 3D saturation mapping biopsy along with color doppler is state of the art. True they require sedation and after mine I awoke with a catheter for a day. But in comparison to your normal 12 pin biopsy they make those seem archaic. They will locate the cancer more precisely and the amount of the PCA. For Targeted Focal Therapy for low risk PCa they are essential. TFT is a clinical study treatment that I was successfully treated with going on near 3 years now. I wish it were available for all along with saturation biopsies , but I digress. The reason saturation biopsies are far superior is the amount of cores taken which are decided by the size of the prostate. In my case 45 although I've heard up to 90 from others. They are also placed by a grid.
Your recommendation that he find a better urologist who won't give him a saturation biopsy is downright laughable. I advise him to stay with the doctor he has for many would love a saturation biopsy if it were available. After said biopsy he will know much better as to his Pca than you and most others here know/knew of theirs. That's an irrefutable fact. At that point he may decide on treatments and doctors with much better knowledge of his PCa. http://alprostate.com/Documents/TFTMAPPING.pdf
I see you're fairly new here. If you feel the need to give future advice fine, but be sure you know what you are advising about
Diagnosed 11/08/07 - Age: 58 - 3 of 12 @5%
Psa: 2.3 - 3+3=6 - Size: 34g -T-2-A
2/22/08 - 3D Mapping Saturation Biopsy - 1 of 45 @2% - Psa:2.1 - 3+3=6 - 28g after taking Avodart - Catheter for 1 day -Good Candidate for TFT(Targeted Focal Therapy) Cryosurgery(Ice Balls) - Clinical Research Study
4/22/08 - TFT performed at University of Colorado Medical Center - Catheter for 4 days - Slight soreness for 2 weeks but afterward life returns as normal
7/30/08 - Psa: .32
11/10/08 - Psa.62 -
April 2009 12 of 12 Negative Biopsy
2/16/10 12 of 12 Negative Biopsy
Post Edited (Ziggy9) : 11/6/2010 11:21:10 PM (GMT-6)