I have been referred to this group by my best friend that recently has PC surgery and is a member here. I am impressed with the support and compassion of everyone here. Additionally, he has graciously shared his experience so I can learn how to better take care of myself.
Friday, 3/18/11, my urologist ordered a PSA test and a biopsy for my next visit. His communication skills leave much to be desired. This has resulted in me spending the last 48 hours scouring the internet becoming more anxious, confused and frustrated. I have learned that 4.0 used to be the threshold for normal, now the range max for the 40's age group is 2.5. So overnight I went from "acceptable" to over the max with no change in my PSA. Now I'm fearful I will miss my 5 year old daughter growing up.
Below are the stats and details as best I know right now. I will be getting records to create the full history in the next couple days.
Age 49, will be 50 in about a month.
Apr 2011 pending results
Sep 2010 - 3.1 (Urologist)
May 2010 - 3.1 (Internist annual checkup)
May 2009 - 3.0 (Internist annual checkup)
2008 - 3.0 (Internist annual checkup) best I can remember
2007 - 3.0 or 2.5 or ?? I do not remember when or what the first PSA test was, so I don't know the benchmark. Will be getting the records this week to find out.
In 2009 I asked the Internist about the PSA level, the reply was "it's acceptable, but your prostate is slightly enlarged. I started taking Saw Palmetto when I can remember it.
- May 2010 annual checkup urinalysis showed high white cell count
- Sep 2010 Urologist visit showed blood in urine (I recall having to delay urinating until very painfull about 1 hour before the test, stuck in traffic)
- Oct 2010 Urologist follow up bladder scope - no blood, bladder normal
- Same urologist removed a spermodicil at my request in 2005
- weak flow which improves with extra hydration, or reduced work stress (desk job), but not fully "normal"
- 4-6 months in 2009/2010 of dribbling, no issue now
- several episodes of "buzzing" vibrating or tingling feeling deep in groin about 5 months ago, none lately
- feeling of pressure when sitting
- what affect does weight lifting have on PSA? I read that stress/strain in the groin can have an affect
- is it possible for BPH to cause a 3.1 PSA?
- what is the range that BPH can cause a PSA to be?
- is there any long term sexual activity that can cause an enlarged prostate, BPH or elevated PSA?
- is it possible that an OLD injury could cause elevated PSA?
- Has anyone had similar PSA results to these?
- What kind of risk does my stats indicate?
- what things should I do to prepare for the next PSA test to make it accurate?
Any insight or suggestions of how to direct my investigation and education would be appreciated.
I realize the questions are mostly about causes other than Prostate Cancer, but I have not been able to find the answers to these questions. I do realize there is the risk of PC. I trying to balance emotion, fear and axiety with some true possible causes.