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Testosterone Replacement, Low T, HCG, & Beyond
Prostate Related Issues
High PSA, biopsies, cancer
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<blockquote data-quote="Blackhawk" data-source="post: 254616" data-attributes="member: 16042"><p>14 is indeed high. If you are having no prostate or lower urinary tract symptoms, I am a bit more worried. If you had symptoms, it could just be from BPH. If you had any urinary tract infection symptoms, could be infection. I would not put off diagnosis, but I also would not rush anything. Some urologists are very good at provoking undue urgency. If it is prostate cancer a week or two to do research and make a decision isn't going to make any appreciable difference. I would not however put it off for months.</p><p></p><p></p><p>I personally believe in more value from MRI before biopsy. Waiting for the order to come through for my third in 4 years...</p><p></p><p>The standard exploratory TRUS biopsy misses a tremendous amount of the gland, and there is no specific targeting of suspected trouble spots. It is just an evenly spaced spread in a grid pattern and all the territory between the grid points can contain lesions.</p><p></p><p>An MRI will show potential lesions which can then be targeted for biopsy either with MRI fusion overlay, which overlays the MRI image with the ultrasound used during the biopsy targeting, or better yet, targeted biopsy "in bore" of the MRI machine, where the practitioner does an MRI scan for every sample taken to ensure proper targeting. The "in bore" MRI biopsy is harder to come by. I traveled out of state to have that done once. (Tangent: My own case has been an odd one, the prostate problems are from a combo of BPH, and infiltration of the gland with leukemia cells, not prostate cancer. My PSA has been as high as 11.2)</p><p></p><p>To my knowledge, whereas complications from prostate surgery and removal are all too common, serious biopsy complications are not so much. Discomfort and anxiety, yes, of course! It is not pleasant. </p><p></p><p>I did have trouble, due to a very suspicious MRI, had 26 cores taken in bore MRI, which is a lot. I had to go to the ER 24-48 hours later because I could not urinate, and get a catheter for about 5 days, which was quite the misery. Ejaculate will turn black from bleeding for a few weeks, which is normal, but disturbing.</p></blockquote><p></p>
[QUOTE="Blackhawk, post: 254616, member: 16042"] 14 is indeed high. If you are having no prostate or lower urinary tract symptoms, I am a bit more worried. If you had symptoms, it could just be from BPH. If you had any urinary tract infection symptoms, could be infection. I would not put off diagnosis, but I also would not rush anything. Some urologists are very good at provoking undue urgency. If it is prostate cancer a week or two to do research and make a decision isn't going to make any appreciable difference. I would not however put it off for months. I personally believe in more value from MRI before biopsy. Waiting for the order to come through for my third in 4 years... The standard exploratory TRUS biopsy misses a tremendous amount of the gland, and there is no specific targeting of suspected trouble spots. It is just an evenly spaced spread in a grid pattern and all the territory between the grid points can contain lesions. An MRI will show potential lesions which can then be targeted for biopsy either with MRI fusion overlay, which overlays the MRI image with the ultrasound used during the biopsy targeting, or better yet, targeted biopsy "in bore" of the MRI machine, where the practitioner does an MRI scan for every sample taken to ensure proper targeting. The "in bore" MRI biopsy is harder to come by. I traveled out of state to have that done once. (Tangent: My own case has been an odd one, the prostate problems are from a combo of BPH, and infiltration of the gland with leukemia cells, not prostate cancer. My PSA has been as high as 11.2) To my knowledge, whereas complications from prostate surgery and removal are all too common, serious biopsy complications are not so much. Discomfort and anxiety, yes, of course! It is not pleasant. I did have trouble, due to a very suspicious MRI, had 26 cores taken in bore MRI, which is a lot. I had to go to the ER 24-48 hours later because I could not urinate, and get a catheter for about 5 days, which was quite the misery. Ejaculate will turn black from bleeding for a few weeks, which is normal, but disturbing. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Prostate Related Issues
High PSA, biopsies, cancer
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