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Posted 8/3/2010 5:00 PM (GMT 0)
Met with URO today. PSA jumped from 3.95 to 6.18 after a biopsy indicated negative. Next steps are a urine analysis to rule out urinary infection and repeat PSA and free PSA to ensure reading was accurate. Meet again in three weeks. If PSA stays elevated and urine shows clear we will do a repeat biopsy in September. I asked him if the velocity could indicate an aggressive cancer. He told me not to put the cart before the horse and that he has seen thousands of cases with my numbers and no cancer was ever found. He has alot more confidence than I do (guess thats why he is a specialist and I am a generalist). I really just want to know one way or the other so I can deal

with it and move on. idea

Posted 8/3/2010 6:36 PM (GMT 0)

Any discussion of MRI, Color Doppler, PCA3 test, or next biopsy with more cores?  Those might at leat be worth talking about with your doc.  Best wishes,

Posted 8/3/2010 6:47 PM (GMT 0)
My 2nd biopsy took 36 cores.  My uro was sure it was there and finally found it.  Lucky me rolleyes . 
Posted 8/4/2010 12:36 PM (GMT 0)
Considering how low your fPsa number is, that number is highly influenced by prostatitis which you may have going on here(that level is too low for a guy with clear biopsies). Sometimes prostatitis is not diagnosed by some docs, sometimes they do not respond to Cipro or other drugs, there are 2-3 types of prostatitis (fyi). In this scenario you hope you have prostatitis and not PCa, and yes you can have both at the same time.


www.wmfurology.com           www.marinurology.com

Get a copy of your pathology report just in case it mentions: PIN, or HG-PIN which the doc might have decided wasn't worth mentioning...we have seen such in other cases, just for background knowledge, they are considered pre-cursors to having PCa but not the cause of your psa levels. I hope you have prostatitis, it can be handled.

Post Edited (zufus) : 8/4/2010 6:54:47 AM (GMT-6)

Posted 8/4/2010 6:43 PM (GMT 0)
I will ask about the other tests but I know the PCA3 test is not available in Canada yet. The uro said that if I had prostatitis it would have been found in the first biopsy? Is that correct? It was 13 weeks from biopsy to PSA test so it is possible that the biopsy may have triggered a small amount of infection.
Posted 8/4/2010 6:52 PM (GMT 0)
Hi newtopc, According to the Prostate Canada web site the test is available in Canada. You might want to check with your lab.

Sheldon AKA Sleepless
Posted 8/5/2010 2:38 AM (GMT 0)
Did the doctor recommend taking antibiotics and then take another PSA test?
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