Search found 21 matches
- Wed Oct 23, 2019 3:54 pm
- Forum: PSA and other markers
- Topic: Biochemical Recurrence
- Replies: 2
- Views: 5976
Re: Biochemical Recurrence
Chris, you need to be referred to an Oncologist rather than a Urologist. They are likely to request a PET CT scan to determine to site of your PSA generation to look to see if it can be specifically targeted. You have been unlucky, but your tumour was locally advanced (T3) at the time of surgery, wh...
- Tue Jul 11, 2017 7:39 pm
- Forum: PSA and other markers
- Topic: PSA Increase
- Replies: 1
- Views: 5748
Re: PSA Increase
Chris I can see how the change in numbers is unsettling for you. The fact that your PSA has both apparently fallen and risen following surgery highlights the fact that the PSA test is not very accurate at the lowest limit of detection. This is why the definition of biochemical recurrence (failure) i...
- Sat Jul 16, 2016 1:26 pm
- Forum: Interpreting results
- Topic: Testosterone
- Replies: 1
- Views: 7901
Re: Testosterone
Roland It is certainly possible that your low testosterone is contributing towards your erectile dysfunction (ED) and now that you are more than 1 year following surgery it would be reasonable to start testosterone replacement therapy. This is usually in the form of a gel or a patch applied to the s...
- Tue Jul 05, 2016 9:25 pm
- Forum: Biopsy
- Topic: Biopsy result accuracy
- Replies: 1
- Views: 7291
Re: Biopsy result accuracy
Carlos A biopsy is only a sample and, as you point out, can be inaccurate if it fails to represent the whole organ. This is called sampling error. The larger the prostate, the greater the possibility of sampling error (think needle and haystack). Sampling error can be reduced in a number of ways: ta...
Re: Da Vinci
Carlos This is an excellent question and the short answer is that it depends on the surgeon. Excellent results have been published in the medical literature for open, laparoscopic and robotic surgery, but so have very poor results and, by definition, most surgeons will achieve average results using ...
- Wed Jun 01, 2016 11:54 am
- Forum: PSA and other markers
- Topic: What Does PSA Count 0.08 Actually Mean in My Case?
- Replies: 1
- Views: 11906
Re: What Does PSA Count 0.08 Actually Mean in My Case?
Chris Unfortunately, up-staging and up-grading of prostate cancer, as was seen in your case, is not rare and occurs in 5-30% of men, depending on which surgical series from the published literature you read. The advantage of surgery over radiotherapy as the initial treatment is that armed with knowl...
- Wed May 25, 2016 11:41 am
- Forum: Recurrence and salvage options
- Topic: Recurrence in lymph nodes after prostatectomy
- Replies: 1
- Views: 7490
Re: Recurrence in lymph nodes after prostatectomy
Hi and I'm sorry to read about your father's problem. I assume that you meant 6 month (rather than 6 week) check as November 2015 was 6 months ago and that he's had some form of imaging that shows nodal recurrence, such as a CT, MRI or PET CT scan, which followed an elevated PSA level. Depending on ...
- Wed May 25, 2016 11:12 am
- Forum: Active surveillance
- Topic: When to give up on active surveillance
- Replies: 1
- Views: 6578
Re: When to give up on active surveillance
Peter The 3 scenarios that commonly cause men to abandon active surveillance and seek definitive treatment are:- PSA progression. Gleason progression. Wanting to end uncertainty. If I understand your post correctly, your PSA in 2012 was 5.7 and is still 5.7 in 2016 but has fluctuated significantly b...
- Fri May 06, 2016 9:56 pm
- Forum: Choosing a treatment
- Topic: Elevated PSA and 4K Scores
- Replies: 1
- Views: 19921
Re: Elevated PSA and 4K Scores
Hi. I think that many of the answers to your questions are covered in http://www.theprostateclinic.org/community/viewtopic.php?f=5&t=803 . Total PSA is elevated by age, prostate size, prostate injury (such as biopsy), urinary infection, bladder outlet obstruction and ejaculation, as well as canc...
- Fri May 06, 2016 9:38 pm
- Forum: MRI and other scans
- Topic: Biopsy Procedural Differences in the States
- Replies: 1
- Views: 15379
Re: Biopsy Procedural Differences in the States
PSA is an imperfect tumour marker but it is still an excellent tool for identifying men in whom more interest needs to be taken to either exclude or confirm the presence of prostate cancer. We know this because the largest screening study for prostate cancer (the European Randomised Screening study ...