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New, PSA 20, Just Starting Process
I had a 20 year gap in PSA testing, work recently offered a screening. I came in at 20, confirmed with my local Doc a few days ago. I’m 62, no family history. I am on track to meet a local urologist to get started, he’s in network, great reviews.
I watched a few Utube videos. Could BPH get the PSA up to 20? With the sea of supplements to reduce prostate growth, do ANY work? I have seen a few cautions about unnecessary surgical procedures, though realize individual differences.
Just looking to those that have been down this road, thanks.
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@mjp0512 Yes - I think it was good decision to proceed with the biopsy.
I had two high-quality, 3 Tesla multiparametric MRIs. The MRIs were 18 months apart and both concluded "PIRADS-3" (on a scale of 1 to 5) which is an indeterminate type of cancer conclusion. So after the second MRI I decided to schedule the biopsy. Results: Gleason 4+3 unfavorable intermediate prostate cancer with many cancer-positive (i.e., 9 out of 13) biopsy cores. Significantly worse than I had anticipated, but good to finally have some definitive concluding results.
With hindsight I wished I had proceeded with the biopsy earlier. I don't look backwards at this point but I'm certainly glad to share my experience with this group.
Best wishes to Widude63 in his biopsy.
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3 ReactionsOk, back home. First off, my hat is off to those that had that type of biopsy. I really didn’t enjoy it, give me a colonoscopy instead. I know, different stuff.
I don’t have too much to go on. I have a meeting on the 24th after the tissue is analyzed.
One thing of note, he said my prostate was 4 times normal size. I thought I heard a ‘120’ in there, don’t remember precisely. I just wonder if that size means anything itself? I google the extra large prostate & see ‘BHP’ mentioned a lot.
He said he got good sample coverage, good images, now I’ll be backing off to an MRI or one of the other blood tests for a while. Hopefully my bit of recovery goes ok.
@widude63
A large prostate gives you a high PSA without it being prostate cancer. BPH is an enlarged prostate, sometimes it is caused by an infection, but it causes urinary issues like the following.
Frequent urination, especially at night
Difficulty starting or stopping urination
Weak or interrupted urine stream
Dribbling at the end of urination
Pain or burning during urination
Antibiotics can reduce the size of the prostate and the PSA. Four times normal size is close to 120cc and that could be the whole cause for your PSA of 20.
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