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Posted 12/16/2017 3:58 PM (GMT 0)
Hi, I am going in for MRI on prostate. I've been on testosterone injections for 5 months now. My PSA has jumped from 3.5 to 5.4 in this time period. I am now off testosterone and scared like hell of PC. I have pain while sitting. More like an ache. I have in both sides only on occation. Was wondering if this is back or PC. Standing and walking....i feel fantastic. My prostate felt large while sitting and doc put me on Bactrim for 2 weeks. After 1 week the flairing is feeling better. My urine flow is great. No problems going and fully emptying. Just driving me nuts!!
Posted 12/16/2017 4:53 PM (GMT 0)
The more knowledgable guys will be along soon but it sounds more like an infection to me as PSA doesn't really move that quickly if it is being driven by PCa. But I am a newbie so listen to some of the veteran guys. Just wanted to say hi and maybe give you a little encouragement. Also from I have read and been told you would not be having bone pain from PCa with that low of a PSA. But again more knowing people will show up soon.

Also note that MRI's are not really great at identifying or excluding PCa.

May you be well.

Roger
Posted 12/16/2017 5:08 PM (GMT 0)
I'm not a doctor, but PSA typically does a slow rise over many years with PCa, not the sharp increase you had, which generally means an infection. Also, PCa is asymptomatic in the early stages so I just can't imagine the back pain would be linked to that.

All that said, I'm glad you're getting this checked out. Best of luck!
Posted 12/16/2017 7:51 PM (GMT 0)
You don't say how old you are but....a lot of guys begin having aches and pains in their mid to late 50's. (Or at least I did). That, in and of itself....can be disconcerting to us who've always been strong and spritely. I felt the same man, physically, pretty much...from my 20's.....until...my mid 50's.

So a guy begins having what's really considered normal aging....it's new to him and he never believed he'd ever "get old".....starts having pains he's never had before....and couple that with some infection or something popping the PSA up.....and we get scared. "All of this *can't* be a coincidence!"

But it can be. And most times....are.
Posted 12/17/2017 2:15 AM (GMT 0)
Hi, sorry I did not state my age. I am 63 and in good health and active. Since on the Bactrim and withdrawing from testosterone, my urethra is tender as well.
Posted 12/17/2017 4:01 AM (GMT 0)
I'd like to emphasize that for the vast majority of prostate cancer patients there are NO symptoms at all. The first warning is a high PSA test result. Aches and pains are something else.
Posted 12/17/2017 4:10 AM (GMT 0)
For me the infection post biopsy raised the psa from 11 to 20. It also increased the size of the lymph nodes. The pain in my bottom was excruciating and I had a pain on the top of my penis. The only thing that helped was a hot bath for 20 minutes nightly. The bath was an after thought by my uro, but it was so painful I tried it, thank God. Twice a day and it was fine after two weeks.
Posted 12/17/2017 5:20 AM (GMT 0)

Glc100 said...
For me the infection post biopsy raised the psa from 11 to 20. It also increased the size of the lymph nodes. The pain in my bottom was excruciating and I had a pain on the top of my penis. The only thing that helped was a hot bath for 20 minutes nightly. The bath was an after thought by my uro, but it was so painful I tried it, thank God. Twice a day and it was fine after two weeks.

Yes, a sitz bath with Epsom salts is a very old remedy for prostate inflammations, but it really works when nothing else does.
Posted 12/18/2017 3:32 PM (GMT 0)
Good luck on the outcome of the MRI, Roy. Good chance of it being inflammation/prostatitis as PC rarely causes pain.

Michael_T, my experience was not a slow rise in PSA. Mine went from 3.8 to 6.3 in a year.

Jeff
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