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I have bph, large prostate and rising psa

Posted , 12 users are following.

darren93206
darren93206

2011 psa was 3

2014 was 3.9

2015 was 4.2

2015 was 7

2015 was 5.4

2016 was 5.9

3 in 2017 were 6, 6.8 and 6.7

I have just recently had my second MRI scan first one showed nothing this one has shown 2 Lesions that are pirads 3.  Previous biopsy shows no cancer. My prostate size is 80-90cc I am 51 years old. 

They are considering a template biopsy or a targeted transperireal biopsy. 

1/ after reading my diagnosis does my psa level seem ok for my prostate size. (I have been taking saw pelmetto for 3 years) ? 

2/ should I be worried to much about cancer? 

3/ can anyone advise on the 2 biopsy’s above? 

4/ should I have a procedure to relieve my bph symptoms? 

Thanks

Darren. 

0 likes, 22 replies

22 Replies

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  • todd86639
    todd86639 darren93206

    Posted

    Darren, my numbers almost match your numbers identically with the exception of prostate size (mine is 30 cc). But my PSA was rising and I had a total of four biopsies (one 12 core, one 24 core and 2 MRI guided saturation biopsies with PIRADS 3 lesions sampled and determined to be benign tissue). I had the Rezum procedure last fall and though I had some very unpleasant side effects from it I just had a PSA test yesterday and it was back down to the normal range (under 2.5). I think you’re smart to have another biopsy if your doc recommends it but also know that extra prostate tissue can cause a rising PSA as well as false lesions on mri. If you want to message me privately please feel free. We have had an almost identical experience at about the same age. Good luck!
    • darren93206
      darren93206 todd86639

      Posted

      Hi Todd. Thanks for sharing  all that with me. New to this site do not sure how to message you. I live in the uk. It’s not been easy as my father recently passed away with bone cancer started with prostate cancer. He was 84 good life. My consultant has passed me over to another consultant for the biopsy and then once I get the results I can discuss the way forward. If all being well and I am in the clear I am going to live with my bph symptoms until I am older, maybe 60 unless it gets worse. Hopefully in 10 years there will be better procedures I can have. Cheers Darren. 
    • david41064
      david41064 darren93206

      Posted

      When you have family history on fathers side you should be vigilant.  Its all about the aggressiveness.  I know many guys in watchful waiting due to low agressiveness as measured by Gleason score.  If really aggressive I would get two or three opinions.  Embolization being used on other cancers has promise for prostate if aggressive and caught early.  Even get other opinions on the biopsy score.  This can vary.  I have friend who didn't listen, had a Gleason of 6 and had a bunch of lymph nodes removed ( way to aggressive treatment ) and got same thing women get from BC surgery of lymph.  I think it is called lymphodema.  He had totally removal and regrets.  He could have had watchful waiting for a number of years.  Nothing but ED for him unfortunately.  Makes for some sadness in life.  Good luck

    • darren93206
      darren93206 david41064

      Posted

      Thanks for your reply David. I have decided to see another consultant and he will advise me as to whether I should have another biopsy. As for my bph symptoms I am keeping on with the tamulosin as long as I can until I have no choice. I realised now having bph symptoms is a way of life. 
    • hank1953
      hank1953 darren93206

      Posted

      Darren, you can also ask for higher dose of tamsulosin to ease your BPH symptoms, if you can handle any side effects. Hank
    • david41064
      david41064 darren93206

      Posted

      Don't settle for way of life.  My PAE was life changing.  Most any consultant is going to say have a biopsy as they play it safe for liability reasons.  Your a case that charting the psa every 3-6 months can be of some value.  I would not take  more doses of meds.  Bad for sex life.  I don't remember prostate size but I would do the following.  1) If prostate >80  do PAE, 2) if 40-80 look at Rezum, FLA and maybe PAE depending on where in the range and symptoms.  Good luck my man, but don't expect a consultant to help all that much.

    • darren93206
      darren93206 hank1953

      Posted

      Hank. As live in the uk I am at the highest daily dose. I know in the states you can take double. 
    • kenneth1955
      kenneth1955 darren93206

      Posted

      Good morning Darren  Just be careful how much you take.  You can try it but if you get any of the side effects stop.  Just be careful  Ken
  • uncklefester
    uncklefester darren93206

    Posted

    I was unaware of the link between prostate size and PSA or Maybe I forgot. Any my prostate is 125 cc and my PSA is 1.4. I must be an anomaly. I am taking Firnasteride which I'm told halves you PSA numbers

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