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I do not understand why he would be casual.  It almost sounds like your dr. lacks experience with PCa. Are you in a small town in the middle of nowhere?  You are 57 with a PSA of 13.8 and your other symptoms and he "didn't want to do anything right now".  This is insane.  What does he want to do? Wait until it progresses?  !!!! What does urinalysis have to do with anything? (really, that is an honest question.)

Rather than blab on and on, like I tend to do, I'll cut to the chase. Get a second opinion. And get a new urologist.  Just my .02.

Markus

If you have a 13.8 PSA, you are at risk for PCa. At age 57, and in good health with an otherwise long life expectancy, I suggest you tell your urologist to schedule you for a prostate biopsy, not another PSA. I doubt he will refuse your request. With a 13.8 PSA at any age, you need to rule out PCa with a biopsy.

You are the same age I am and sound like my health excellent except for that darn elevated PSA showing up in a blood test for life insurance. Your PSA is really really high. It can be caused by an infection do a search on "prostatitis" it is very common. Did the doctor put you on any antibiotics? Before I got prostate cancer, my real good friend had a PSA of over 17 he is 55 and a truck driver so he sits on his prostate a lot. The doc put him on antibiotics and it went back down. He still has an enlarged prostate that causes problems with urinating etc. I wasn't so lucky my PSA was 4.3 and did not go down after antibiotics. I had pain when ejaculating which can be cause by an infection in my case it wasn't an infection. I have no pain when having intercourse and an orgasm now after surgery. If you aren't on any antibiotics ask the doctor why or maybe ask another doctor? If your PSA does not go down the only way to know for sure if there is cancer is a biopsy. I was scared to death about the biopsy. It is mildly uncomfortable feels like the finger in your rear for about 15 minutes and like someone snaps you lightly with a rubber band, it was no big deal and I would do it again in a heartbeat. This is not a fun deal and I know you are concerned and worried. If it turns out you do have prostate cancer it is not the end of life as you know it. Stay tuned to this forum you will find a wealth of information and encouragement. Your doctors attitude concerns me, and if he didn't prescribe any antibiotics for at least two weeks I am going to say he is incompetent or senile or both. The urine test doesn't really mean anything about your prostate gland. If he didn't mention infection in the prostate you should consider seeing a different urologist. Let us know we do care.

I am 57 years old Diagnosed with PC 8/10/2006 PSA 4.3 5 of 12 cores cancer DaVinci Surgery 10/12/2006 cancer confined to the prostate doing wonderful with recovery almost normal in every area first PSA after surgery 0.01

Relax Bob,

It is absolutely reasonable to take some time and remeasure. I assume you were given an antibiotic for what sounds like a prostate infection? If not, would you please call him and ASK him? It takes a miimum of 2 weeks, usually 4 weeks on meds to get rid a prostate infection. The Doc isn't being casual...he's being smart! If you have an infection it may be casusing the whole PSA issue. Being a good Physician, he wants to know how much of the increase will go away when you're feeling better.

Hello bob,

I agree with all the other members, and suggest a second opinion. I would have thought at the very least your urologist could have suggested a coarse of antibiotics to see if that would lower your PSA score. A PSA of 13.8 needs to be more thoroughly investigated, and it should be done promtly. Please keep us posted, and keep asking questions. We'll be here to support you.

Glen

I studied up before going to the urologist and I got it pretty clearly that psa 13.8 wsa not good. the dre showed only a slightly enlarged prostate which the dr said was not significant. I asked about a free psa and he boohood that and said they don't work for diagnosis. I kept asking questions but he had quick answers and then flippantly said are you worried about prostate cancer and of course I said yes. he said it is highly unlikely and in his opinion a biopsy is unnecessary.

that's why I came here.

and yes, I am scared

bob

Sending a “Warm Welcome” …to You!
Guess What??? You came to the right place!!! You are among friends here…



Being scared is normal and we can help guide you along your path ~ no matter what the final outcome is. Just know that when and if you hear the word cancer…. We will be right here because you will feel it even more than you are right now just thinking about it!!!



KNOWLEDGE IS POWER... and POWER conquers FEAR!!!!!



1st things first…. We are surprised your GP didn’t prescribe antibiotics…. and we would definitely be checking out another urologist!! Especially since no antibiotics were prescribed for the burning sensation to rule out infections!!! If there is still any doubt after the antibiotics ….We would then expect our urologist to order a biopsy.





Hopefully ~ we will be sending you on your way with no diagnosis of prostate cancer….

David’s Wife signed on and we followed her through tests that determined an infection. Truly a happy moment for all of us!!!! Because ~ we become a family of friends on this forum.

You should always start with he least invasive procedures first - in this case antibiotics. My initial PSA was 26.5 and urologist put me on large dose of Cipro for 30 days to rule out infection. The other thing to consider is that one should not engage in sex, bike riding or anything else that would stimulate the prostate for at least 2 days before blood draw for PSA. Ther'e plenty of time for a biopsy if really needed.

You should take everything you read here, including my posts, with a large grain of salt.

-Gordy

PCa is very curable When caught early. My husband's PSA was 4.1 biopsy found cancer. My father was 49 years old when after years of being diagnosised with bladder infections and kidney infections a surgeon found his cancer by accident. He was allready in the final stages with the cancer being spread throughout his body. Don't ignore symptoms, or let your doctor. My dad's doctor is now overly cautious when anything is wrong with my family. Good Luck. Elevated PSA does not guarantee PCa, it just serves as a warning sign. Courtney

thank you to all of you for your encouragement and information. I have decided to call the urologist on Monday and request a course of antibiotics followed by a psa in 4 weeks. If he isn't co-operative, I will go back to my GP and get a referall to another urologist.

I am happy with this decision, and will wait see what happens and go forward once I know if the antibiotics did the trick.

thanks again

bob

I am seeing a new urologist tomorrow. have planned what I want to say and just have to see what he says.

report back here tomorrow night

it is so good to have place to come and share and be informed and be understood

cheers

Bob

I saw the new urologist this morning. He did another DRE and felt a bumpy area, he booked me right away for a biopsy which is happening next Wednesday at 5pm. He was so different from the last one, he listened to my questions, he took the PSA reading of 13.8 seriously and is proactive. This is the guy for me.

Dutch I have had no previous PSA tests, so no history and no way to see how fast it got to that, my own fault, I procrastinated. Won't do that again.

thanks to all of you who responded to my thread

will check back with you guys next week.

bob