I'm Back

I’m back

Had 6 month PSA done in March with reading of 2.6 is still above baseline. I was put on Levaquin for 30 days. Repeat PSA with fPSA is still 2.6 but free is down to 3%.
I might need to get my second biopsy .

Here is a link to my first post.

https://www.healingwell.com/community/?f=35&m=554154&g=554154#m554154

Hi Jim

While your PSA isn't high, although it is slightly about the 2.0 PSA cutoff that is used today, you should be concerned about your very low free PSA (which often indicates a much higher chance that you may have PCa). My free PSA was 27% which put me in about an 18% risk of having PCa, but nevertheless I was found to have PCa. I have been long concerned about urologists who only take a small number of core samples of the prostate when doing a biopsy. From what I have read, there is a much greater chance that PCa could be missed. I had a 29-core biopsy which some may consider excessive, but I am happy that my urologist did this as it gave me greater assurance as to my stage of cancer.
The minimum optimum number of cores for a prostate biopsy is 20 and I suggest that if you are going to have a 2nd biopsy that you discuss this with your urologist.

Also, you indicate that your prostate is about 36ml (do you mean cc?) and that you have BPH. This is kind of surprising, because your prostate is not really that big unless I am misunderstanding the measurement you indicated. A normal size prostate for a young man is about 20-25cc. My prostate is about 46cc and I never had BPH. My radiation oncologist told me that my prostate size was normal for my age which surprised me. From what I have read, I was under the impression that men who had BPH had enlarged prostate sizes far greater than mine (usually over 50cc).

I believe that I have a cyst on one of my kidneys too and was told that it was benign and there is nothing to worry about.

Best of luck to you!

Dave