At 81, high PSA: I don't think I want a prostate biopsy

Posted by vtduckman1 @vtduckman1, Jan 8, 2025

age 81 high PSA should I have a prostate biopsy l don’t think I won’t one

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Profile picture for 14810eshimmering @14810eshimmering

@gently Just took a second ISO PSA test and awaiting results. I will use this second marker to make my decision. If score is same or higher - biopsy. If it goes down - active surveillance. I’m 80 yrs old and refuse to die with a limp dick or pissing in my pants. At my age many friends are living 10 years without treating it.

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@14810eshimmering There are SOOO many ways to treat PCa these days, including non invasive focal therapy or seed radiation. A limp dick or diapers is NOT a given!
You don’t want to wind up like my nephew’s 79 yr old father who just last night was told that his suspected prostate cancer - which he refused to be biopsied for - had spread to his lungs, liver and pancreas.
He cannot even stand on his own and the family is getting ready to call Hospice.
Meanwhile, the guy can’t believe he’s riddled with cancer and insists it came on “just like that”!🫰
Phil

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Profile picture for 14810eshimmering @14810eshimmering

@gently Just took a second ISO PSA test and awaiting results. I will use this second marker to make my decision. If score is same or higher - biopsy. If it goes down - active surveillance. I’m 80 yrs old and refuse to die with a limp dick or pissing in my pants. At my age many friends are living 10 years without treating it.

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@14810eshimmering
You’ve heard of one person’s experience with prostate cancer end of life.

Here’s another

My father died of prostate cancer at 88. He was in so much pain that he was on so much morphine He could not communicate. When I was a teenager, he had his teeth ground down and crowned without Novacaine, His pain tolerance was that high. When the prostate cancer gets to the bones, it can be extremely painful. He had radiation as his primary treatment. It wasn’t as effective in the 80s as it is today.

Lupron was available at that time and I remember when he told me it had stopped working, I didn’t know what it meant but chemotherapy wasn’t real effective at that time.

You may live to 90 but you may find that without treatment. You are in extreme pain, And youmay not last that long.

Unless you know the extent of your prostate cancer you have no Idea what’s going to happen in your future.

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I've had 2 biopsies, transperineal, lidocaine was the only painkiller and the shot was a prick (pardon my pun). Drove home from each procedure with no problems. !st one at 79, 2nd at 80. Probably have another one in early 2027.

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Profile picture for 14810eshimmering @14810eshimmering

Im 79. Excellent health. Had a PSA, 88, on Medicare Annual and was referred to Urologist. The Urologist ordered an MRI. Results: PI-RADS 3, Wedge shaped signal 5mm along posterior, midline peripheral zone, could reflect prostatitis or low grade neoplasm, Density.212. Urologist ordered ISO PSA which came at 8, PSA was 10. Wants Guided biopsy ASAP. He eventually conceded to my wishes of a ISO PSA retest in 5 months - results now pending. Really don't want a biopsy at all. Is there any other option?

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@14810eshimmering
What about a PSMA Petscan? That is how they spotted my PC Metastasis 2 months ago, PSA was 4.21 and I've had Radical Prostatectomy 10 years ago - no prostate! Does that work for prostate? Ask your urologist asap. Best thoughts & hopes to you.

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