2 weeks of Cipro to Rule out Protatitis

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K2
Regular Member


Date Joined Feb 2011
Total Posts : 51
   Posted 2/15/2011 8:22 AM (GMT -6)   
Is this SOP for a 12.76 PSA?
 
Should I expect my urologust to start off with meds to rule out infection?
 
Unlikely to go straight to a biopsy?
 
 
 

LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 2/15/2011 8:35 AM (GMT -6)   
There are many factors that are reviewed by the urologist before mapping out a treatment plan and ruling out protatitis is just one of them. Not uncommon at all to make sure that no infection is lingering around which is causing the elevated psa.

Best of luck to you,
You are beating back cancer, so hold your head up with dignity

Les

Robotic Surgery Sept 2008
PSA increasing since January 2009
Current PSA .44 (29 months)
PSA Doubling time approx. 6 months
Clinical Trial - SRT begins 2/21/11

Joko
Regular Member


Date Joined Dec 2010
Total Posts : 119
   Posted 2/15/2011 8:54 AM (GMT -6)   
I did antibiotic for 3 years in a row. First 2 times my PSA did come down, but last year it actually went up a little after antibiotic. So Dr proceded to have me in for the mapping biopsy.

So do the antibiotic in my case was the right thing to do and I did have some symptons of an infection.

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3739
   Posted 2/15/2011 10:43 AM (GMT -6)   
Hey K2,

Welcome to HW. (Looks like you just found another peak to climb.)

When I had my first PSA during a routine physical it came back at 17.8.
I started Cipro but also started lining up what I wanted to do if it stayed high. After 3 weeks it was 22.+. By then, I had a surgeon in mind. He did the biopsy and the surgery.
Hopefully your PSA is high because you had s*x before your test or have prostatitis. But statistically, if you had to bet... It would not hurt to start lining up the carabiners, ropes, crampons, wire nuts, and ice tools you might need for this climb. Education is key.

Good luck to you. The view from this side still looks bright.

Jeff
Age: 58, Mar 35 yrs, 56 dx, PSA: 4/09 17.8 6/09 23.2
Biopsy: 6/09 7 of 12 Pos, 20-70%, Gleason 4+3 Bone, CT Neg
DaVinci RP: 7/09, U of Roch Med Ctr
Path Rpt: Gleason 3+4, pT3aNOMx,56g, Tumor 2.5x1.8 cm both lobes and apex. EPE present, PNI extensive, Sem Ves, Vas def clear, Lymph 0/13
Incont: 200ml/day ED: Trimix
Post Surg PSA: 10/09 .04, 4/10 .04, 7/10 <0.01, 12/10 <0.01
Advance Sling 1/11

Post Edited (Worried Guy) : 2/15/2011 8:47:35 AM (GMT-7)


tvwohio
Regular Member


Date Joined Sep 2010
Total Posts : 175
   Posted 2/15/2011 7:11 PM (GMT -6)   
Did you have any cultures done to make certain that if you have a UTI that it is not Cipro resistant?
Some UTI are Cipro resistant.
Just something to think about.
I have a UTI which was Cipro resistant and I went to Bacitran.
Prostrate Cancer 2001 RP 51 years old
PSA 6.8 Gleason 3 + 2 40% T3bNxMo moderately differentiated adenocarcinoma
RP - cancer in apex area contained but nerve sparing was not successful
Bulking using both collagen and teflex unsuccessful for continence
AMS 800 AUS installed 1/22/2011

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 2/15/2011 8:08 PM (GMT -6)   
Many uros will start a patient on cipro while a culture is being studied, then switch antibiotics if needed
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
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 11/10 Not taking it
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/23/10

zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 2/16/2011 7:09 AM (GMT -6)   
Some cases of prostatitus are not cureable via antibiotics like Cipro. Sometimes ones own body can deal with it over time. There are like 3 types of prostatitus:

www.marinurology.com
www.wfmurology.com  

Those websites cover PCa and any related urology conditions...good reading. You could have prostatitus, bph and PCa all at the same time or any variation mixed therein.  It is the land of bizzaro.
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