Dealing with prostate cancer

    Hey folks, I have been dealing with prostate cancer since 2014.

     

    I have had my prostate removed, my cancer was gone for four years, then it came back. So then I went on hormone therapy and I had radiation treatments. If anyone has any questions about prostates and/or cancer, I have become fairly knowledgeable on the topic.

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      I would like your opinion.   Jan. 2014 psa went from 1 to 7.3 and had first biopsy showing 2 of 14 samples low grade ca.  Watch and wait was course of action.   Psa every 6 months dropped ranging from 4 – 5.5 and second biopsy in June 2016 was negative.   (Only  God knows where the cancer went)  Last month psa was 4.53 but since it’s been almost 3 years my urologist wants another biopsy.  Fyi, the prior biopsies were done while I was under general anatheisia for other procedures so I have no idea what they are like.  My dr. told me to take  a look at my calendar and call the office to schedule.   I feel like a convicted criminal sentenced to be shot but the judge told me to go home and let his office know when my exicution would be convenient.

      Is my urologist being cautious for my benefit or just protecting himself.   No way to know but do you think it’s time for a second opinion?  My dr. is also treating me for bladder cancer so we’ve built a great relationship and I do trust him.  Still it’s my rear end on the line.

      Double bed Answered on May 6, 2019.
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        GraceHusband- Your PSA is fairly low, so obviously your cancer is not expanding. There are risks with doing biopsies. There is a new imaging procedure done with ultrasound, I would ask for it instead. Yes, your urologist is being a bit aggressive, but that is what you pay him for. I think I would delay the next procedure a year. If you want to shift to a new urologist, find one that uses the ultrasound imaging device.

        Twin bed Answered on May 7, 2019.
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          They can now do non-invasive MRI’s of the prostate. There are also better blood tests. Biopsies are painful and don’t always hit the right spot.  They are old school.

          Queen bed Answered on May 7, 2019.
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            Thanks so much for the input.  My city has a medical school so based on what you guys have said I’ll check there for latest methods.  Duke or John Hopkins are other possibilities.   Today a friend from my gym told me about a PHI blood test he had at Hopkins being far more accurate  than psa.  Dr. Google should have info on that.

            Thanks again for taking time to respond.

            Double bed Answered on May 7, 2019.
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