I had one - it wasnt bad. Discomfort when coil device inserted, but did not feel it after that. Took about an hour....
Diagnostic Radiologists are the experts at interpreting images. ( not to imply they are always right). If there is a discrepancy between the MR and bone scan, ask for an opinion from the radiologist...
I had a similar problem. PSA was 3.8. Subsequent biopsy was negative. 6 months later PSA was 18! No symptoms except decreased semen. Tx with antibiotics. PSA was still 17. Went to major cancer center...
How was your experience with Dr. Schaeffer?...
Insufficient good data exists regarding supplements and PCa prevention. Many are being looked at in clinical trials. Pomegranate, green tea, curcumin, broccoli and others. No one knows the...
The location of uptake on a PET scan depends on the type of isotope used for the PET scan. An FDG scan (glucose) is a fancy "sugar" map. Any tissue that takes up glucose takes up FDG. This would...
Some facts about prostate MRI It is still evolving and getting better. It is not sensitive for detection of extraprostatic extension because it does not detect 3mm or less invasion well when compared...
Clark, I would like to know more about your experience with the other scans. Did you have any MRIs? Exactly what happened?...
There are three zones that are often used to report prostate MRI. Peripheral, central (transition zone), and the fibromuscular stroma. There is an app for iPad on prostate MRI for radiologists if...
Redwings story is frightening. It show that despite doing everything reasonable, this disease can present itself in a way that cannot be caught early....
Odds of prostate cancer at your age are remote. Seek another opinion if you feel the need. No harm in that....
Stainless steel is not ferromagnetic . The MRI will not produce any force on it, so it will not move it. The MRI will show a black spot around the stainless steel hip that could reach the prostate...
I had a PSA of 3.8. Age 56. 12 core biopsy neg. 33cc gland. 6 months later PSA was 17!😨 No symptoms. 6 weeks later it was 14. 14 core biopsy and MRI was then done....biopsy negative, except...
Data on supplements and PCA is incomplete. No clear answer yet....
Ultrasound , including with doppler, is not specific for prostate cancer. Inflammation of the prostate can occur without any patient symptoms, except elevated PSA. The odds of you having a prostate...
Why are you screening at age 45? Any family history?...
Did you look at any MD Anderson urologists?...
Data is not entirely definitive yet, but for detection, a 1.5T multiparametric scan with endorectal coil is thought to be equivalent to a 3T multiparametric scan without an endorectal coil. A...
Wow. Was it with or without an endorectal coil? What tesla?...
JohnT... Exactly what was it about the MRI machine they used on you at St Radbouds that made it the most powerful MRI in the world? Williamc... UCLA is the pioneering site for MRI with US fusion...
I dont know of any peer reviewed data that demonstrates CDU to be superior to multiparametric MRI in the detection of prostate cancer. Perhaps CDU may detect some cancers that MRI cannot, and vice...
The overall sensitivity for detection of extracapsular extension (ECE) with MRI, even a 3T and endorectal coil, is best in intermediate and high risk cancers (higher pretest probability). Sensitivity...
Also, you might get a PCA3 urine test. It is not elevated in prostatitis, however, it would have to be very low (under 10) to not biopsy. My second biopsy was 9 months after the first biopsy....
12 to 10 PSA change means no significant change. I have just gone through a very similar event. See above post. In addition, semen has been watery since first biopsy. No one knows why. I believe my...
Peter, Wow. I hate this disease. Thanks for the info. What were your PCA3 scores? Did you ever have an MRI? Where in the gland was the Gleason 9? Anterior? Apex? Sometimes anterior tumors are out of...
Update: PSA repeated after antibiotics. No change. PCA3 13. Went for MRI, and then 14 core TRUS biopsy. PSA right before biopsy was 8.4. MRI showed questionable areas, nothing big and obvious. Biopsy...
I wouldnt beat yourself up about those 4 years. I think I would have very likely done something similar. In fact, I have been on the PSA roller coaster for the last couple of years with two negative...
Redwings PSAs over the years demonstrates the critical need for a better screening tool for prostate cancer. Redwing, did you start screening before age 50 because of a family history?...
Looks like to me you did everything reasonable with your PSA screening. Even your PCA3 score was not that high. This disease is a confounding bastard of a disease....
Sorry Redwing. I am confused about your PSA numbers. Your PSA had not changed in over 10 years? Or were you on a reductase inhibitor after 2003?...
A TRUS biopsy can cause a subclinical non bacterial prostatitis and it could last that long causing the PSA to stay elevated. However, cancer would be a concern too. Did your first biopsy show any...
The urologist will follow up with PSA and DRE. If either become suspicious he will want to do another TRUS biopsy. Possible alternatives to another biopsy are a PCA3 urine test or MRI....
Age 55, DRE neg except minimally enlarged, no prostatitis sx LAB: 12/2008: 2.1 11/2009: 2.8 05/2011: 3.4 06/2011: 2.5 09/2011: 3.2, PCA3 20 03/2012 3.8 06/2012 PCA3 10 06/2012 12 core TRUS- negative...
Waiting for results was worse than biopsy. " Blood in semen" means motor oil like ejaculate. Slowly goes away....
May I ask who your surgeon was?...
Sounds like transperineal saturation biopsy. Not unusual in rising PSA and prior negative biopsies. Can be usueful. May lead to diagnosis of many indolent potentially "clinically insignificant"...
Its practically impossible for a patient to determine if any difference exists between two experienced surgeons. Volume isnt always a great indicator. A book called "The Decision" written by a...
Did you have a robotic partial kidney removal too?...
Phenom, You PSA checks are to detect a recurrence so you can get early treatment. That what PSA testing was "invented" for. That use of PSA is totally different than screening asymptomatic men....
Don't confuse PSA screening with PSA for follow-up of prostate cancer. PSA for follow-up for prostate cancer is essential....
The group did not recommend against all breast cancer screening, only against women age 40 - 49. Screening for PCA with PSA is controversial. Unfortunately, we men got stuck in an era with a...
Good questions . Let us know the answers you were given....
Possible extracapsular extension on MRI does not necessarily mean that one will have positive margins at surgery. The surgeon might make a wide excision on that side (take the NVB)....
PCA3 testing, although been around a while , was recently approved by the FDA in men considering repeat biopsy....
Hey joe, What were your pca3 scores?...
Get some professional counseling if you feel you need it. All of us can be overwhelmed by life events no matter who we are....
While some of these posts have helpful information, i suggest the OP be wary of some recommendations here. Seems like some posters are giving advice outside their area of expertise....
Yes, first valet park is free. After you check in and become an MDA patient, they may send you to the lab. Then you will go to the GU waiting room. In the waiting room, first they will call you to do...
I was just down there for a consultation in the GU cancer clinic regarding PSA values. MDA location in Houston is intimidatin. It's like a downtown full of medical buildings (not all MDA). MDA GU...
Hi from NW USA. Age 53. Normal DRE. PSA: 2008: 2.0 2009: 2.8 2011: 3.4 Repeat PSA 2011: 2.7 Urologist wants to biopsy anyway. Understand there is a continuum of risk with PSA levels. PSA <.5 ~7% have...