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Long-Term Adverse Effects and Complications After Treatment
Prostate Cancer | Last Active: Nov 19 12:52pm | Replies (14)Comment receiving replies
The thing is when somebody has a high PSA they do a biopsy. If the biopsy doesn’t show anything above a Gleeson six then they don’t recommend anything be done right away
If doctors went straight from high PSA to surgery or radiation that would be a different story, but that is not what is happening
Replies to "The thing is when somebody has a high PSA they do a biopsy. If the biopsy..."
Very misleading and discouraging study IMHO. They used men with Gleason 6’s AND men who did NOT have prostate cancer as a comparison?? WTF? That’s like comparing the complications associated with amputation of a gangrenous limb with those who had NO INFECTION!!
Of course men who have had treatment will have higher rates of complications - how can they NOT??
I am now in salvage radiation knowing full well that the radiation could cause my previously treated bladder cancer to return even more aggressively. Does that mean I do nothing for the prostate cancer?
Until you get a crystal ball along with your medical degree there is no way to know if your treatment decisions are right or wrong, good or bad or more harmful than not.
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Not sure about “somebody”, but in my case when my PSA level came in at 7.8 I was referred to a urologist whose first recommendation was to do a mpMRI.
It was only after the mpMRI found three lesions (PIRADS 3, 4 and 5) that my urologist recommended a targeted fusion biopsy.
That should be standard practice.
If a doctor recommends a biopsy, solely based on an elevated PSA level, it’s time to head for the door and run!