Multiparametric MRI at 1.5T show "intermediate suspicion of prostate carcinoma"

Unfortunately you are like me and worry about the endless possibilities of "what if" so I know where you are coming from. But because of your prostatic symptoms and all the tests you've done the pandora's box has already been opened. To say don't worry about it makes no sense as anxious as you (and I) are. You should just go ahead and get the biopsy for some peace of mind. At 33 with no family history of prostate cancer the chances you have it are pretty low. So assuming biopsy shows no cancer there is no surgeon that will do a preemptive prostatectomy just because you're miserable with your prostate.  Believe me I know your pain, starting at 35 I had worsening BPH symptoms causing me to pee every two hours night and day. I tried all the drugs current at that time, flomax, cardura. They just made me dizzy when I stood up, I couldn't live with that. I was about to try avodart when my cancer was found. Certainly there must be newer drugs like avodart and others that can control your prostatitis. And you are very young to have to worry about ED issues. It was tough enough for me at 52. You have a long way to go with having normal relations with another person. Even if somebody would actually take out your prostate the odds of permanent ED are around 50/50. I seriously doubt that anything new for ED is coming down the road anytime soon. You should get the biopsy and then find a top notch urologist to treat your prostatitis. Good luck, been where you've been.........

compiler said...
Here's your problem:

>>>>>>>>>>>>>>
My prostatic fluid showed no signs of inflammation and my diet is vegan plus anti-inflammatory and anti-agiogenesis supplements like tumeric, ginger, cayene's pepper, garlic, berries, green tea, pomegranate, flax seeds...you name it. My naturapathic doctor says I must do this because of the state of my prostate.

>>>>>>>>>>>>>>>>>>>>

Quit eating all that crap

Mel

What's the reason for this diet being a problem? All the studies in medical literature indicate they have a positive benefit on the prostate. I figured they are OK since they are whole plant powders, as opposed to extracts. Why do you believe this is the problem source?

mspt98 said...
Unfortunately you are like me and worry about the endless possibilities of "what if" so I know where you are coming from. But because of your prostatic symptoms and all the tests you've done the pandora's box has already been opened. To say don't worry about it makes no sense as anxious as you (and I) are. You should just go ahead and get the biopsy for some peace of mind. At 33 with no family history of prostate cancer the chances you have it are pretty low. So assuming biopsy shows no cancer there is no surgeon that will do a preemptive prostatectomy just because you're miserable with your prostate. Believe me I know your pain, starting at 35 I had worsening BPH symptoms causing me to pee every two hours night and day. I tried all the drugs current at that time, flomax, cardura. They just made me dizzy when I stood up, I couldn't live with that. I was about to try avodart when my cancer was found. Certainly there must be newer drugs like avodart and others that can control your prostatitis. And you are very young to have to worry about ED issues. It was tough enough for me at 52. You have a long way to go with having normal relations with another person. Even if somebody would actually take out your prostate the odds of permanent ED are around 50/50. I seriously doubt that anything new for ED is coming down the road anytime soon. You should get the biopsy and then find a top notch urologist to treat your prostatitis. Good luck, been where you've been.........

Wow I thought i was the only one with BPH symptoms at an early age...
I just read about a procedure from the 60's they used to use which killed the prostate with injections (which means not touching the nerves or the muscles) as a way to treat BPH. It involved basically tying off the blood supply to prostate tissue with a sclerorizing agent. I doubt anybody does anything like this now, but if all prostate tissue can be killed via a few injections, then no ED or incontinence would occur and gone is the prostate :)

You are jumping the gun. "pre-emptive RPP?!"  No way. You should put off having it removed as long as you can.  You quality of life at your age will go right into the trash can.  You will deal with much more then ED and incontinence. The emotional descruction of your manhood is something that is never mentioned.  You are far too young to loose this.  Sex will never be the same, even if you don't have ED. It absolutely will be garbage compared to what it was. You don't realize it now but it won't be satisfying at all like it used to be.  Not to mention the fact that if you drink, sex will be out and you will most of the time wet on the girl your trying to have sex with.  Yea, it's a blast.....DO NOT TAKE IT OUT UNLESS THEY FIND CANCER!  YOU WILL ABSOLUTELY REGRET IT.

The gland provides the fluid for semen.  You will have dry orgasims.  You will not be able to have children.  Even with ED drugs you will never a have a spontaneous erection again and you won't be able to maintain it unless you have constant activity during sex. 

If you take it out you will suffer extreme emotion distress over this at your age, or heck any other age. 

DON'T DO IT UNLESS YOU FIND CANCER OR WANT TO BE ALONE THE REST OF YOUR LIFE.

I forgot to mention there is another condition I have which prompted me to thinking about this - I have an Bicuspid Aortic Valve which my cardiologist said I need to replace sometime within the next 10 years. After I replace it with a mechanical valve (which will last a lifetime since I am young I can't use the tissue valve without a 2nd surgery). This means I have to be on a permanent bloodthinner like Coumadin for the rest of my life. When I was told this, I realized that getting a major surgery after a mechanical valve replacement is going to be dangerous although not impossible. So I want to make sure I monitor my prostate so closely that I can "catch" a G6 the moment it appears. This will ensure the prostate surgery is BEFORE the mechanical valve replacement.

Once I get my mechanical valve replacement and be on coumadin - I have to avoid Vitamin K foods like Spinach etc. A lot of the anti-cancer foods I am eating now, I won't be able to eat. So If I don't get this thing out before then, I will have a harder surgery than other people PLUS my anti-cancer diet shield will be gone. I will be without this shield probably at the most necessary point of my life (age 40 and onward).

The state of my prostate, with a history of infection that was not fixed for a long time, chronic inflammation, early BPH, gene tests showing I have 150% increased chance of getting PC than average, the question of me getting PCa is not a question if "if" but "when".

I need to have this thing out before I am on permanent Coumadin :(

I really should have mentioned this earlier, it shines more light on my situation.

BOOGEE said...
Hello Thunder,

I don't see any stats, so wondering why you had a PSA test before or at the age of 30ish.
Were you having any symptoms that would lead to a PSA test?

Good luck!

BOOGEE

I was living in China the past few years then caught a prostate infection after I swam in a public swimming pool. The doctors there gave me a bunch of different antibiotics that did not fix it, until it was fixed 18 months later with 6 weeks of Cipro I was peeing blood all the time.
But I was left with chronic non-bacterial prostatitis and urinary urgency and weak stream. So I went to get a physical and on ultrasound they said my prostate was too big for my age.
Then I was reading about how people in China were developing lung cancer from the pollution (like a 9 year old got lung cancer in Shanghai due to pollution), so I went to get a blood marker test for lung cancer, and the testing clinic asked if I wanted to get the complete male cancer panel (which cost the equivalent of 40 dollars) so I thought why not. They basically try to push this test on everyone that comes in to make money.

So that test had PSA in it and the reading was 0.8. Then subsequently I always got periodic male panel cancer tests since it was cheap at 40 dollars.
So my PSA readings in the past 4 years have been:
0.8, 1.1, 0.9, 1.65, 1.0, 1.4, 1.1
Clearly it is slowly trending up and varying a lot. But my prostate size also increased from 25cc to 31cc in the last 4 years (from age 29 to 33). The vascularity of my prostate on color doppler ultrasound also has increased.

My last 3 PSA tests over the last 1.5 years were:
1.0 (46% free)
1.4 (46.5% free)
1.1 (45% free)

I am puzzled as to why the free PSA does not even vary, I have never seen it being that consistent anywhere else. I am hoping it is not because of the "pro PSA" component of the free PSA, which would be bad.
Everyone else's freePSA% all seem to vary somewhat. Mine is consistently within 1%....

To sum it up - it was more of an accident since in China you don't need a dr's prescription for any test/scans, they would gladly test you even if you don't need it.

It is also cheap, like a complete PET-CT with DFG-18 on a 64-slice machine cost 1500 dollars, and the radiologists there read this stuff pretty well since they see sooooo many people in China.

You can also get a physical that includes ultrasound of every internal organ, male cancer blood panel, complete blood count, eye/nose/throat exam for like 80 dollars total. I got one like every year while I was there.

I suffered from intermittent severe prostatitis and a much smaller degree of chronic prostatitis from age 30(age 65 at time of RP) I also had some steadily increasing BPH problems, and it turned out I had a quite large prostate at 107 gms. (25 or so normal?)

I had also suffered from increasing ED for the last 10 years, but Cialis had done quite a lot to revive that during the few months before my RP. I probably would have been better off without that short reminder of how pleasurable things used to be.

There is one unequivocal positive I can see so far from my RP: I can pee like a racehorse and sleep all night rarely getting up more than once, if at all. That is great.

But if I could, and could have found a more acceptable alternative, I would give a left nut to get my prostate back just like it was with all of it's problems. It would be wonderful not to have to worry about pissing my pants or wearing a pad at all. Although, at 9 months out, I am so grateful to be down to just one pad a day, that is great- even wonderful- by comparison. Still, it would be so wonderful not to even think about something so basic like that. What a blessing that was, one I never even thought about.

And what about the glories of a natural erection, or waking up with morning wood like I regularly did right up to surgery day when taking Cialis, and being able to have all of that with out a pump or injection? And even having an orgasm feel like it used to, any wear near as pleasurable, and not having to worry about ejaculating urine? Some folks say that the prostate plays it's role in pleasurable sexual sensation, and I'm starting to think they are right.

Personally, I would take a little BPH or prostatitis over that any day of the week. In fact, I wish I had them back and all else(the good things) that I had along with them. Obviously though, along with that wish I would have had a means of dealing with my G9 PC, and even now it is too me debatable exactly what that might have been.

But have an RP when I don't have an aggressive PC? ( or possibly, even if I did have PC, depending on many variables) I'd about as soon have a bilateral above knee amputation for ingrown toenails or plantar fasciitis.

Now that is just me and how I personally feel about it. Except for the loss of loved ones, this RP has been the worst thing that ever happened to me. (EDIT: actually, it's the side effects of the surgery which are a problem- the surgery itself was relatively easy) Did it save my life? Maybe, maybe not, time will tell. But my life has certainly changed drastically since I woke up from the surgery. If it turns out I have been given a lot of extra years due to this removal of an important body structure, those years certainly won't be like they would have been without the negative changes this surgery has wrought. Would I choose death from cancer rather than go through these changes? No. But I certainly would not volunteer for all of this without the threat of death.

But again that's just me. Other folks feel very different even if they don't all get good recovery. You are way young. If you get some world class nerve sparing surgery and are very lucky, you might, after a while, recover most of your pre-surgery erectile function. You might not( or even probably won't) have urinary incontinence for very long. Your orgasms, though dry, might even become as pleasurable or even more so as before. You probably won't get Peyronie's disease or suffer loss of length. Or, maybe not! You will know all of that from a few weeks to a few years after the surgery.

I should also add that is still possible that I will have an amazing further increase in my recovery as more months go by. Possible. If not, it is possible that I can get a lot(but not all) of these problems fixed or helped by submitting to further surgery in the future. And if so, and if it turns out all of this surgical trauma has actually cured me of my PC, then I might feel different about the whole thing. But as it is, and based on my experience only, all I can say about the idea of an RP - unless you are convinced it is required to escape death from PC- is: run away!