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PSA up and down and up and down...

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rolf61809
rolf61809

PSA was 6.5 a year ago, 3.5 six months ago, 9.9 three months ago and now 5.5. very confused. If the 9.9 had risen was going to go for the biopsy, but now? Already have teally nasty undiagnosed prostate area pain which may be pudendal neuralgia. I'm worried that a biopsy infection could push that over the edge. And the urologist told me today that he gives antibiotics the day of the biopsy and that's it. Seems like if you could bleed rectally for several days a longer course would be indicated. Thoughts?

0 likes, 5 replies

5 Replies

  • stewarta
    stewarta rolf61809

    Posted

    If you can afford it, press for a 3T MRI, then have a MRI guided Biopsy (Transperineal Fusion Biopsy,). This way, the sampling done under a general anaesthetic is between the scrotum and anus, with no chance of infection. Half a day in hospital, a day or two of spotting blood into a pad, and you will soon know what is happening in your prostate.
    • rolf61809
      rolf61809 stewarta

      Posted

      Thanks. At my insistence Had the 3t MRI ( pirads level 3 in transitional zone). First and second opinion urologists both act like I'm irrational wanting the transperineal. And that the infection rates are the same. Even if true transrectal bugs would have to be meaner.

  • Pepasan
    Pepasan rolf61809

    Posted

    I had several days of antibiotics for after my biopsy - seems no reason to limit yours to only one day, unless it is a special type of dosage.
  • MK51151
    MK51151 rolf61809

    Posted

    Receantly, I had biopsy trans rectal. Used enema night before and next day 2 hours before biopsy. Started antibiotic day before and contunued for 2 days. Just before procedure started, had intramuscular injection of Rocephin antibiotic and everything went well. Biopsy was painful itself even after lidocaine was injected into prostate. 

    NO INFECTION ATT ALL.

  • Supertractorman
    Supertractorman rolf61809

    Posted

    Will never have another Biopsy as last one gave me Sepsis and 2 years on still can't fight infection with continuing Urine infections and Prostatitis.

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