now I am confused

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

jonnie0916
New Member


Date Joined Apr 2011
Total Posts : 4
   Posted 4/22/2011 2:33 PM (GMT -6)   
All, Thank you for prior posts, It helps!!
Anyway, My PSA is 3.1 46 years old and my first DRE with my family Dr was positive for what she said was a bump or bumpy prostate and it did not feel enlarged.
I went to the uroligist today and he said that it was not a bump and was not bumpy, but was enlarged. Should I feel better. He wants me to have a biopsy. Can a enlarged prostate cause a slightly elevated psa result. I am assuming the biopsy will clear this up some, I am just not sure. My family history I found out today had no prostate cancer, but enlarged prostate problems do exist. any guidance?

Sunbird
Regular Member


Date Joined Apr 2008
Total Posts : 140
   Posted 4/22/2011 2:48 PM (GMT -6)   
Jonnie

I think I would go ahead and have the biopsy as your Uro suggests. At your age, a PSA of 3.1 is a little high. Some Urologists are now performing biopsies @ 2.5 ng/ml rather than the old standard of 4.0 ng/ml. When my PSA climbed above 4.0 ng/ml, I was put on antibiotics and when it went down to 3.1 ng/ml, I protested when my Urologist suggested a biopsy. He said if my PSA had gone down into the "2's" he wouldn't be concerned. I went ahead with the biopsy, and I was age 61 at the time. 3 of 10 cores were positive showing a Gleason 6. After surgery, I became a Gleason 7 when the pathology folks did their thing. A biopsy will at least give you piece of mind. I feared the biopsy, but it was only about a 3 on a 10 scale for pain. Just request they numb the area with a shot of lidocaine before they take their samples.

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 4/22/2011 3:00 PM (GMT -6)   
jonnie, what Sunbird said....
James C., Age 64, Kingsport, E. TN
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing open RP, Path: pT2c, 110 gms., clear except:
Probable microscopic involvement-left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09, 12/10-.09, 02/11-.08
ED-total-Bimix 30cc

tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2845
   Posted 4/22/2011 3:23 PM (GMT -6)   
JONNIE -
if the Urologist thought it was a UTI or prostatitis he would have gone the antibiotic route - I echo what James and Sunbird have said - wishing you all the best - and keep in mind, DON'T PANIC... you will get through this.
hugs,
BRONSON
Age:55 -gay with spouse of 14 years, Steve -Peterborough, Ontario, Canada
PSA:10/06/09 3.86
Biopsy:10/16/09- 2 of 12 cancerous, 5% involvement -Gleason 7 (3+4)
Radical Prostatectomy:11/18/09
Pathology:pT3a -Gleason 7 -extraprostatic extension -perineural invasion -prostate weight -34.1 gm
PSA:04/08/10 -0.05 -Zero Club
PSA:09/23/10 -0.05 -Zero Club
PSA:03/24/11 -0.02 -Zero Club
PSA:03/24/12- TBA

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7078
   Posted 4/22/2011 3:26 PM (GMT -6)   
Jonnie,
 
Another in agreement with Sunbird.
You may get lucky and not have PCa, because PSA level can correlate to just the prostate size, but the biopsy will establish a baseline - it was a minor issue for me. Pity it came back loaded.
DaVinci 10/2009
My adjuvant IGRT journey (2010) -
www.healingwell.com/community/default.aspx?f=35&m=1756808

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/22/2011 3:27 PM (GMT -6)   
I agree with the others, for peace of mind, take the biopsy. And we will all rejoice if it comes back negative.
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 margin
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, 2/11 1.24, 4/11 3.81
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 9/10

rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1132
   Posted 4/22/2011 6:34 PM (GMT -6)   
I agree with the others, I would get the biopsy.

DaSlink
Veteran Member


Date Joined Feb 2011
Total Posts : 713
   Posted 4/23/2011 5:06 PM (GMT -6)   
I agree with every one else. I have a cancer history in my family but not Pca. I wish my Doctor had suggested a PSA test while I was in my mid 40's,but most of the time I couldn't even reach her. Now I have a new doctor.
Every minute you fish or ride,adds an hour to your life!

Age 52 Dx age 53 daVinci surgery
prostate volume 32 grams
Biopsy 12 cores with 7 positive
Gleason score of 7
1st PSA 38.7 10/05/2010
2nd PSA 49.9 11/23/2010
CT neg.
BS Negative
RRP on 01/25/2011
PT3a -40% involved
margin involved-Left anterior
lymph nodes -clear
1st post op PSA-0.26-03/16/11
New Topic Post Reply Printable Version
Forum Information
Currently it is Tuesday, September 18, 2018 12:11 PM (GMT -6)
There are a total of 3,004,303 posts in 329,132 threads.
View Active Threads


Who's Online
This forum has 161736 registered members. Please welcome our newest member, jjmck2.
225 Guest(s), 11 Registered Member(s) are currently online.  Details
imagardener2, pam lewellen, SamanthaE, TAD4207, countess18, browntrout, Girlie, InTheShop, quincy, F8, AUniqueName18