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Posted 12/12/2009 12:49 AM (GMT 0)
Last December PSA Level was 8.6 and had

Biopsy with2%of one core with Cancer. Treatment

has been 6 month PSA and Rectal Exam. They

strongly recommend Biopsy every year also but the

issue with first Biopsy was blood in urine for over

1-2 months.  Asked doctor if I could wait another

six months before doing another biopsy and said

OK.   Was this a wise decision?  Thanks......

Posted 12/12/2009 1:02 AM (GMT 0)

Dear Negative:

Personally, I don't think it was a wise decision.  Most programs for active surveillance include an annual biopsy.  Here is a link to the Johns Hopkins Urology web site and their program.  http://urology.jhu.edu/prostate/advice1.php

As you can see, they recommend annual biopsies.  The purpose is to see whether or not your cancer has changed such that treatment is recommended or you can remain in surveillance mode.

If it was me, I would do the annual biopsies.  BTW, the blood in urine and ejaculate is perfectly normal.  Also, I don't know whether or not you found the biopsy painful but, if so, you can have it done under sedation...

Tudpock

Posted 12/12/2009 1:25 AM (GMT 0)
Negative,

I fully agree with Tudpock. If you are watching your situation you need to have those biopsies on a very regular basis.
I agree, the blood may be unsettling, but its not harmful. I had my last 2 biopsies only 6 weeks apart, and it wasnt so
bad. Please keep us posted.

David in SC
Posted 12/12/2009 2:57 AM (GMT 0)
Wise, unwise?  We can't say which. If I were in your shoes I would follow the advice of the medical professionals.  But, at the end of the day . . . it's your life and you're the only person who can assign a value to it. 
Posted 12/12/2009 3:00 AM (GMT 0)
Negative,
consider getting a color doppler ultrasound. It will tell you more than a biopsy and once you establish a base line, biopsies are only given if there is a change.
JT
Posted 12/12/2009 12:58 PM (GMT 0)
I did not see your age. But that would be a major factor in my decision if it were me. I would probably try some of the other testing methods or even a saturation biopsy with many more samples taken.
You have to do what you feel is right for you.
Good Luck,
KW
Posted 12/12/2009 9:32 PM (GMT 0)
Besides your age, the other question is what has your PSA been doing? As far as the 12 month biopsy -- no one can tell. Some PC can be so slow that this is too soon, but for the first follow-up you may not want to take that bet.
Posted 12/12/2009 9:39 PM (GMT 0)
Just my 2 cents. What is PSA doing? If moving up then I would do a biopsy! I would not want that C to take off running and get me in trouble. I will state one more time "This is my 2 cents worth" In reality only you can make the decision which way to deal with this stuff. Always know the consequences for you actions.

Best of luck we are in your corner!

Jeff T
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