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2 weeks of Cipro to Rule out Protatitis

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Posted 2/15/2011 1:22 PM (GMT 0)
Is this SOP for a 12.76 PSA?

Should I expect my urologust to start off with meds to rule out infection?

Unlikely to go straight to a biopsy?

 

Posted 2/15/2011 1:35 PM (GMT 0)
There are many factors that are reviewed by the urologist before mapping out a treatment plan and ruling out protatitis is just one of them. Not uncommon at all to make sure that no infection is lingering around which is causing the elevated psa.

Best of luck to you,
Posted 2/15/2011 1:54 PM (GMT 0)
I did antibiotic for 3 years in a row. First 2 times my PSA did come down, but last year it actually went up a little after antibiotic. So Dr proceded to have me in for the mapping biopsy.

So do the antibiotic in my case was the right thing to do and I did have some symptons of an infection.
Posted 2/15/2011 3:43 PM (GMT 0)
Hey K2,

Welcome to HW. (Looks like you just found another peak to climb.)

When I had my first PSA during a routine physical it came back at 17.8.
I started Cipro but also started lining up what I wanted to do if it stayed high. After 3 weeks it was 22.+. By then, I had a surgeon in mind. He did the biopsy and the surgery.
Hopefully your PSA is high because you had s*x before your test or have prostatitis. But statistically, if you had to bet... It would not hurt to start lining up the carabiners, ropes, crampons, wire nuts, and ice tools you might need for this climb. Education is key.

Good luck to you. The view from this side still looks bright.

Jeff
Posted 2/16/2011 12:11 AM (GMT 0)
Did you have any cultures done to make certain that if you have a UTI that it is not Cipro resistant?
Some UTI are Cipro resistant.
Just something to think about.
I have a UTI which was Cipro resistant and I went to Bacitran.
Posted 2/16/2011 1:08 AM (GMT 0)
Many uros will start a patient on cipro while a culture is being studied, then switch antibiotics if needed
Posted 2/16/2011 12:09 PM (GMT 0)
Some cases of prostatitus are not cureable via antibiotics like Cipro. Sometimes ones own body can deal with it over time. There are like 3 types of prostatitus:

www.marinurology.com
www.wfmurology.com  

Those websites cover PCa and any related urology conditions...good reading. You could have prostatitus, bph and PCa all at the same time or any variation mixed therein.  It is the land of bizzaro.
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