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Prostate Cancer (Expert Forum)
High PSA after Green-Light?
Answered by
Ash Tewari, MD, M.Ch. - Prostate Cancer, Robotic Prostatectomy, Urology, Oncology, Surgery
Weill Medical College of Cornell University
New York - NY
This forum is for questions about: Advanced or Metastatic Prostate Cancer, Biopsy, Bone Scan, Blood in Urine or Semen, Benign Prostatic Hyperplasia (BPH), CT Scan, Cystoscopy, Erectile Dysfunction, Hormone Therapy, Incontinence, Pain (abdomen, low back or hip), PSA Test, Prostatitis , Radiation Therapy, Rectal Exam, Recurrent Cancer, Risk Factors, Screening, Staging (Tumor size; Metastasis), Surgery, Transrectal Ultrasound, Urinary Difficulty or Burning, Urinary Urgency (Leaking), Watchful Waiting.
High PSA after Green-Light?
by AriesMed, Sep 25, 2009 03:46PM
I HAD GREEN-LIGHT SURGERY TO REDUCE THE SIZE OF MY PROSTATE A YEAR AGO. MY PSA IS NOW HIGH - ABOUT 11, I HAVE TO GO TO THE DOCTOR NEXT WEEK BUT I LIKE TO HAVE SOME MEDICAL POINT OF VUE BEFORE. WHAT SHOULD I EXPECT?.
MY PROBLEMS WITH BPH DATED BACK TO 1987 AND I HAD 2 BIOPSIES: IN 1997 AT THE HOSPITAL OF THE UCSD AND BRITISH NHS IN 1997. IN BOTH CASES THERE WERE NO SIGNS OF CANCER. THIS TIME THEY DIDN'T DO ANY BIOPSY YET.
THANK YOU
ARIES-MED
MY PROBLEMS WITH BPH DATED BACK TO 1987 AND I HAD 2 BIOPSIES: IN 1997 AT THE HOSPITAL OF THE UCSD AND BRITISH NHS IN 1997. IN BOTH CASES THERE WERE NO SIGNS OF CANCER. THIS TIME THEY DIDN'T DO ANY BIOPSY YET.
THANK YOU
ARIES-MED
Doctor's Answer
by Ash Tewari, MD, M.Ch., Oct 25, 2009 09:04PM
, Oct 25, 2009 09:04PMTo: AriesMed
Thank you for your response. You PSA rise could be due to a host of things, 1) BPH 2) Prostate Cancer 3) tissue changes from the laser treatment. Your urologist could suggest several diagnostic options including 1) a saturation biopsy (where more biopsy cores are taken) 2) PCA3 testing (which in several trials has been shown to be a highly specific prostate cancer test) 3) Endorectal MRI.
Best of luck,
Ash K. Tewari
Best of luck,
Ash K. Tewari
My psa level before the green-light surgery was 17.5
AriesMed
AND SO . . .?
THANK YOU VERY MUCH FOR YOUR ANSWER.