I’ll add two comments.
(1) Regarding your rising PSA, Newporter’s comment mirrors my note to you in a separate thread where I wrote:
· By the way, your PSA rise is somewhat suspicious of a combined affect of PC and prostate infection, which can occur simultaneously. Did you doctor mention this, or attempt to treat you with antibiotics. To a certain degree, the point is somewhat moot because of your biopsy findings, but future use of your PSA values will be much less meaningful if the values are convoluted.
Everything certainly seems to indicate that you should be in no rush whatsoever to sort-out whether your PSA rise might have been driven by other causes. Since you are indicating that AS is a possibility with you, it will be important to get a firmer understanding of causes.
(2) Your choice of wording might be important. If you want to be sure that your doctor understands you are serious about exploring AS, he will want to know that you understand AS is NOT “doing nothing.” Those who are most successful with long term AS undertake lifestyle modifications in order to sustain this success. Essentially all of the AS programs reported in the medical literature include elements of i) prostate-healthy dieting, ii) exercise and iii) stress reduction. We could probably all benefit from these steps, but once one gets a cancer diagnosis, the commitment to these becomes more important…and more beneficial.
If you wanted to read more about some of the best known AS programs who publish results in the literature, here are some key names/words that you can search on: H. Ballentine Carter, MD at Johns Hopkins; Laurence (Larry) Klotz, MD at University of Toronto; Peter Carroll, MD at Univ of California at San Francisco.
If you really wanted to talk intelligently about the AS option with your doctor and let him know you are serious about lifestyle changes, discuss this study by Peter Carroll from UCSF about men with biopsy-confirmed low-risk prostate cancer who were split into 2-groups; half undertook lifestyle changes and half “did nothing.” [LINK to the Journal of Urology abstract, and LINK to a more easy-to-read article of the same study.] A year later, the half that “did nothing” had their average PSA increase by a very predictable amount, and the group with lifestyle changes had their average PSA decrease. Do you see my point…? ”Doing nothing” won’t optimize the success of AS.
Also, keep in mind that AS is an appropriate path for many (not all) men, but it is not fully/widely embraced yet by all doctors, especially those in local group practices who tend to slightly lag on the latest info. Some men here on AS report that they have had to search to find a urologist who would support their decision to go the AS route.
Please note that I’m not urging you to go the AS route, nor am I a doctor; rather, my goal is to help you more fully understand this underutilized option so that you can make your own educated decision. You have my support no matter what decision you make!
edit: fixed typo
Post Edited (Casey59) : 4/8/2011 12:05:14 PM (GMT-6)