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PSE Test for Prostate Cancer Before an MRI and for Re-Occurrence
Prostate Cancer | Last Active: Nov 15 10:56am | Replies (42)Comment receiving replies
I’m a little confused by your statements. HoLEP is not the same as a prostatectomy. It removes some tissue, but is not the same as a prostatectomy done under surgery. You are right, another cancer would not raise your PSA. The question is what was your PSA after six months? I would’ve wanted it tested after three months.
If you had radiation, it would not be completely unusual for you to have a PSA of .911. It should continually go down, though it might bounce around a little, but it could take a while to hit bottom. HoLEP results may be similar to radiation, I don’t know. Maybe someone else here does.
Replies to "I’m a little confused by your statements. HoLEP is not the same as a prostatectomy. It..."
I need to add that I have read both treatments as "prostatectomy" and "enucleation," which implies total prostatectomy because the gland itself is removed, not it's capsule. It's the same kind of jargon they use on patients that go in for "laser hair removal." It does NOT remove the hair, it "reduces" the growth. It's a consumer / patient / doctor sales terminology. I used to operate all of those lasers in operating rooms and clinics, all types of lasers.
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You're right. Pardon my confusion. The prostate is lased away into sections and extracted laproscopically through the urethra using a morcellator. The prostate is analyzed in pathology. The capsule of the prostate is left intact. I have had no radiation, or any treatment, or any diagnosis of cancer. My PSA after six months was 0.911