how to examine prostate after proctolectomy???

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Veteran Member

Date Joined Feb 2006
Total Posts : 629
   Posted 12/24/2006 10:13 AM (GMT -6)   
hey everyone! i don't have any prostate issues at the moment, but have a question! i'm having a proctolectomy done in january, that's where they remove the rectum and sew me closed down there. everything i've read online regarding examining the prostate is done through the rectum. so my question: is there a way to examine the prostate for cancer without using the rectum?? thanks

Since 1991: Indeterminate crohn's/ulserative colitis

Veteran Member

Date Joined Nov 2006
Total Posts : 883
   Posted 12/24/2006 10:32 AM (GMT -6)   
    Hate to hear that.  I have colon cancer in my family so I have to keep an eye on it also.
    I would guess that they would have to just go by PSA test.  If there was ever a need for a biposy hey may have to open you back up?  Not a dr. here...just guessing.
    PSA 5.7 - Discovered during Annual Physical with Family Practice Dr.
    Gleason 7
    Biopsy - 3 of 12 positive (up to 75%) all on left side of prostate
    RRP on Oct, 17 - Nerves on right side saved.
    All Lab's clear.  No Cancer outside prostate
    Cathiter in for 3 weeks due to complications in healing. Removed Nov, 9
    Next Dr. Appt and first Post op PSA on Dec, 11

Veteran Member

Date Joined Oct 2006
Total Posts : 626
   Posted 12/24/2006 1:21 PM (GMT -6)   
As to taking a biopsy I would guess that they could do this from the perineum but the issue is not having the ultrasound to guide the needle. There is probably a way to do it if they felt you needed it. The PSA would have to be the indicator and any family history of PCa.

Diagnosed 7/6/06
1 of 10 core samples, 40%
Stage T1c, Gleason 3+3
Da Vinci on 11/01/06
56 Years Old
Post Op Path
Gleason 3+3
Approx. 5% of prostate involved
Prostate Confined, margins clear
Undetectable PSA on 12/18/06

Regular Member

Date Joined Sep 2006
Total Posts : 211
   Posted 12/24/2006 6:59 PM (GMT -6)   

Some thoughts on PC diagnosis.

One of our top urologists here in Australia does not do biopy via the rectum.  I assume his reason is to reduce the problems and infection risk.

Recent diagnostic improvemtnts like "free PSA" are reducing the need for biopsy, and I noticed an article in "Medical News Today" on 19 Sep about "The Diagnostic Center for Disease" opening  its headquarters in Sarasota.

They offer the most advanced non invasive detection imaging technology for men who do not want to have random biopsies or who choose active surveillance. They claim accuracy of diagnosis in excess of 85%.

According to Dr Scardino, any given biopsy will detect about 75% of existing cancers, and biopsies have potential problems.

A friend recently had countless biopsies which failed to find anything. He eventually had a TURP and lab results indicated gleason 7 PC, so hopefully improved methods will in many instances.





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