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My Doc says no biopsy. Need input.

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Posted 11/20/2015 6:15 AM (GMT 0)
Welcome Aboard

Based on my PC experiences, I think your doctor gave you both sound and safe advice. Shouldn't hurt to wait months, get re-tested, and see what happens. The option to biopsy will still be there, least the doctor isn't over reacting, as more commonly done even a few years ago. Good luck ahead.
Posted 11/20/2015 11:59 AM (GMT 0)
Thanks again for all the helpful advice and reassurance. Just curious but just wondering how many of you had clinical symptoms similar to BPH at time of diagnosis. Polyuria, nocturia , itching burning urination etc
Posted 11/22/2015 4:28 AM (GMT 0)
Dr.,

Speaking only of my own case. I had zero issues, ever. No infections, no burning, nothing but a pattern of a fast rising PSA starting at the old standard testing standard of getting a base line at age 50 per my long term PCP. In 2007, PSA reached right over 4.0, had first biopsy - no PC, evidence of PIN. A year later, PC was over 12.0, 2nd biopsy, no PC, lots of HGPIN. Dr. insisted on a 3rd biopsy approx. 6 weeks later (?), said he was convinced, saw some suspicious shadows. First 2 biopsies were standard 12 core, so third one was done, only 7 cores - right into the shadows - he was right, 7 of 7 were PC, some over 90% pure, lots of HGPIN, and PIN, and evidence of PNI, Gleason 7. The rest was history.

No one in my family ever had PC. As doctor said, it has to start somewhere.
Posted 11/22/2015 3:15 PM (GMT 0)
DrBill, I was having minor BPH symptoms for several years prior. To the point that my PCP suggested I try one of the herbal supplements for prostate health that contained saw palmetto. What I learned later (at dx) is that my PSA was depressed by the saw palmetto, roughly 50% according to my Uro. So, the rate of rise was likely faster than it appeared: years at <, then in successive years: 1.0, 2.2, 3.3 then biopsy. Most likely my PSA at the time of diagnosis was more like 5-6 or higher.

Again, PSA is not a cancer test. It says 'something is happening down there'.
Posted 11/24/2015 3:28 PM (GMT 0)
so my URO just called and left VM and stated my testosterone level is 657 ( drawn same time as PSA- 4.240) and see me in 4-6 months to recheck and everything fine!?? Confusing to me since he stated last week he was waiting to see if PSA rose due to increase in my T level- which actually went down this time!) Seems on the contrary and now totally uncertain...put in a call to him and waiting for call back.....now i am indecisive that i am over reacting and just wait 4-6 months and just recheck or be worried i have a problem..help!
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