I am 57, a nodule or assymetrical prostate was found upon DRE exam. 4 years ago my first PSA was 1.5, on September last year it was 3.5, for a .43 increase per year.
I have had anal sex with my girlfriend about 30 times in that period. Could the nodule be due to infection and treated prior to deciding on a biopsy?
Could the use of a PCA3 gene marker test rule out cancer prior to autopsy?
I have had frequent urination at night and other times for at least 10 years. When I was 20 a proctologist found that I had an enlarged prostate. My father died of stroke at 73, but he had frequent urination problems years before that, he had a normal life till the stroke. No other known family members with prostate cancer.
I am physically active, a few pounds overweight about 10. Eat balanced, no alcohol, little caffeine.
The anal sex may indeed predispose to infection. If the nodule represents swelling only, if you have other symptoms of infection - treatment could be initiated and then the biopsy decision can wait.
The biopsy is the only way of definitive diagnosis. This means, no matter how high the suspicion of cancer - this would still be done. There is no test as of yet to replace it.
The PSA is usually a guide as to when to do the biopsy. There is controversy though that it isn't very discriminating at levels below 4 (put another way, many men would undergo biopsy with these PSA values and subsequently found to have no cancer).PCA3 helps improve selection of who should or should not undergo biopsy. If it deems cancer unlikely - biopsy will not be recommended, it cannot rule out (or say for certain) that it isn't cancer.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.