Very High PSA

  Then on 8/29/11 (Monday) I had a very bad UIT (1st ever) with extream pain and burning on urination and sometimes almost could not utinate at all.

I was put on cipro and SXT for UTI by my PCP. The pain got so bad I went back on 9/25/10 (Friday) and my PCP put me on tamsolosin 0.4 (x2) per day and made appointment to see Urologist. The pain went away in about 1 day. (Thank God). My PCP also did a PSA which was 82.6. The Uro did a DRE on 9/16/11 and said the DRE was OK. (Kind of vague about it) The Uro scheulded me for a cysto on about 11/15/11 and a PSA The week before. (I did it two weeks before).  It was 19.2 on 11/3/11. He said the cysto was BPH. (again seemed vage in his responce.) Schelded me for meeting on 12/30/11 and PSA one week prior to meeting and said I needed a biopsy. On 12/23/11 my PSA was 13.2 and he said i needed to choose between a biopsy or wait 2-3 months and see what my psa did. I told him sence my pas seemed to be comming down and my DRE was ok and my cysto showed BPH I perferred to wait the 3 months and he said something about not waiting to long. I have searched the internet and find nothing about how long this high of a PSA takes to come down and was hopping someone on this foram could give me some insight on weather I made the right dicision and any other persons having such a high PSA. Thank you in advance for any help and/or information you might offer.

I can't believe how quick you guys responded.

No, (142) i don't care much for this Uro, I was referred by my PCP and he seems not to big on conversation. It's as if he were talking to himself and not to me. I asked him questions and he answers but he doesn't volenteer much in the way of info. Thanks for the advice. My UTI seems gone now. I was concerned about waiting to long and if I did have PC it would spread or get outside the prostate. Sence my psa in still comming down, should I wait and see if keeps comming down or take more antibiotics now. I kind of freaked out when everything I saw on the internet talked about a high psa as 5,9,15 etc, and mine was 82. I guess many people have that high psa but just cant find anyone talking about it on line. I have visited several sites on Pc but this ones seems to one of the best, if not the best. I really enjoy reading the posts that you guys and gals write. I intend to keep reading sence I now know more about pc and may still have to deal with it at some point. Again, I won't to thank you guys for the info. I value your info and what I read hear much more than what the Uro. has so far told me. I don't think I will stay with him and let him do a Bx. If I do need one I will look for some I feel better about talking with. I know you and the other people on this foram have gone through much more than I have and I will keep all of you in my paryers. Thanks again and I will keep you updated.

None of us here has a medical degree.  None of us has done a DRE or a biopsy.  We haven't had the opportunity to study your complete medical evaluation.  We don't know anything about your medical history, your family history, or any of your other signifcant medical information.  We don't even have the benefit of eyeballing you, which can often tell a smart physicial a lot about a patient's condition.

We learn a lot from one another on this site, but we're not doctors.  We're not even "bad" doctors, though some here have learned a lot about prostate cancer.

Don't rush into any treatment.  Avoid the temptation to only accept information that fits your pre-conceived expectations.  Find a uro in whom you have confidence and whom you find to be highly regarded.  If the doc is "vague" about something, ask questions until your curiosity is satisfied.  If you don't like his bedside manner, find someone with whom you're comfortable.  It's your life and your health, and you have a right to first-rate treatment.