This is my second post, in what is certain to be a white knuckle ride into the unknown....
I'm 50.8 yrs - 1st PSa 12.76 - DRE hard
classic PC/BPH symptoms
Since my PSa 12.76 news I've had ED (psychological vs PC/BPH nerve interference?)
My general Doc did a DRE and desribed the prostrate as very firm (apparently very firm is a euphemism for hard) because on (careful) self exam its clearly smooth and hard - I guess he wanted to avoid any freaking out (too late). He quickly referred me to the urologist - my appt is Feb 23rd. Also he ordered a second PSa and a free PSa but I've read that fPSa is not that meaningful when PSa is over 10. I did have sex (not the memorable kind) a few hours before the test - best as I can remember - I've read that ups your PSa a bit but mine so high that it's not very relevant - although I like the stats better for PSa sores under 10.
And then there the nifty stat that says younger PC paitents (me) have (tend to have?) more agressive cancer.
PSa over 10 seems to the cutoff for all the more favorable statistical outcomes. However, I've seen some posts from pretty low PSa folks that are much worse that one might think for such a low PSa number.
I guess it's all about the biopsy and G-score.
I've done a LOT of reading - this forum is probably the best. Lots of studies out there but its hard to make an assessment on a single study - lots of words like study "suggests."
TREATMENT - I've been trying to get up to speed on all the nuances but there's quite a bit of disagreement and of course I'm not a doctor.
I have an HMO and I suspect they won't stray much from standard protocol type treatment - but I won't know for a while yet.
Surgery vs EBRT for Stage 2/3 - its hard to tell what's better. Yea, I know I've got to wait for the biopsy but I'm not likely to be an early stage case based on my current info.
I want to hit this thing with an atom bomb because of my young age. I'm in good shape - I think I can take it. Bye, bye willy.... : (
Also I haven't read much about diet and exercise - I did read one study that claimed better longevity stats corellated to post treatment diet and exercise. But of course the horse is already out of the barn. If I had it to do over again (which I don't) I'd become a vegan that eats fish and no dairy.
I'm sure you can tell from the tone of my comments that I'm still adjusting - a miracle would be nice.
Any thoughts? Words of wisdom.