Power Color Doppler?

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New Member

Date Joined May 2011
Total Posts : 4
   Posted 5/14/2011 10:47 PM (GMT -6)   
Hello folks. Iam 57 and live in East Texas. My most recent psa is 1.8 and this was checked immediately after having a dre which I understand is not a good idea and can elevate the number. My psa was .9 when I was 51. My only symptom is frequent urination. I have to get up about three times during the night. I had this done by a internal medicine doctor who said that they felt a very small nodule on my prostate and referred me to a Urologist. The Urologist confirmed that I indeed had a very subtle yet present nodule according to his report and scheduled me for a biospy. After doing a little research I learned that there was such a thing as a Power Color Doppler which would prelude the need for a biopsy. The problem is I cant find any place that does this in Texas or in my surrounding states. I do not like the idea of a biopsy and would much rather do this if possible. The idea of a biopsy gives me great anxiety. Can anyone help or advise me?

Post Edited (davidss) : 5/14/2011 9:50:28 PM (GMT-6)

John T
Veteran Member

Date Joined Nov 2008
Total Posts : 4269
   Posted 5/14/2011 11:33 PM (GMT -6)   
There are only a few places I would recommend getting a color dopppler Ultrasound; Dattoli Cancer center in Sarasota Fla, Duke Bahn in Ventura Ca, Doug Chen in Los Angeles, and if still practicing, Fred Lee in Rochester Mi. It looks like you will have to travel to get one. A CDU is not a substitute for a biopsy, only a more accrurate way to give a biopsy. In some cases if nothing is seen a biopsy sample will not be taken, but I'm certain if there is a nodule the doctor doing the CDU will biopsy that nodule.
With a nodule I would get a biopsy either a CDU guided or a regular biopsy. UCLA also has a fusion MRI combined with Power Doppler that they are doing trials on and so far has proven very effective in locating cancer.
66 years old, rising psa for 10 years from 4 to 40; 12 biopsies and MRIS all negative. Oct 2009 DXed with G6 <5%. Color Doppler biopsy found 2.5 cm G4+3. Combidex clear. Seeds and IMRT, 4 weeks of urinary frequency and urgency; no side affects since then. 2 years of psa's all at 0.1.

New Member

Date Joined May 2011
Total Posts : 4
   Posted 5/15/2011 12:14 AM (GMT -6)   
I forgot to mention that I have a pacemaker so a MRI is out in my case.

Veteran Member

Date Joined Aug 2010
Total Posts : 644
   Posted 5/15/2011 4:59 PM (GMT -6)   
Hi, Davidss - I too was very anxious about the biopsy, more so since I had pretty much perfect health up until that point, and had never had a medical procedure more involved than a coloscopy. Seeing my anxiety, the doc prescribed an ativan before the procedure, as well as a painkiller, both of which helped a lot. The whole procedure was uncomfortable but not painful. It's ok to be honest with the doc about the fact that it makes you anxious. No shame in this, and the doc can help you deal with it.

Yes you can get the doppler, and you can also get a free psa test, which may clarify things. But in the long run your anxiety will be lowered the most if you do the biopsy and find out what is really going in in there, (or find that nothing is going on in there.) Either way, you'll know -- and can take action if necessary. But without the biopsy it's just guess work.
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