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Urology (Expert Forum)
any suggestions
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
any suggestions
by shadoli, Jul 16, 2005 12:00AM
I am 76 year old white male in generally good health with only having had skin cancers ( couple of squamous, bunch of basel cells). In 1992 my PSA was 2; in 2002=11; in 04=18; in 7/05 = 22. I have had bioposies after each PSA reading and they are all negative. I am absolutely Asymptomatic. I am having a consultation with the chief of urology of a medicl school. I know that I am too old to be operated on and will probably die in 15 years before the cancer occurrs if it does. Does you have any experience with this, can I be put on any type of medication or diet that can lower the PSA; any ideas or suggestions. Thank you
Doctor's Answer
by Kevin Pho, MD, Jul 17, 2005 12:00AM
, Jul 17, 2005 12:00AM
Unless knowing what the cause of the rising PSA was, it is difficult to come up with a treatment.
You can consider differentiating the PSA into free and total. The ratio of free to total PSA can be suggestive of cancer.
Prostate biopsies can sometimes miss prostate cancers, and thus should be repeated.
If this is a case of prostate cancer, there are treatments other than surgery - including radiation or brachytherapy (i.e. radioactive seeds).
You can discuss these options with your personal physician or urologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
You can consider differentiating the PSA into free and total. The ratio of free to total PSA can be suggestive of cancer.
Prostate biopsies can sometimes miss prostate cancers, and thus should be repeated.
If this is a case of prostate cancer, there are treatments other than surgery - including radiation or brachytherapy (i.e. radioactive seeds).
You can discuss these options with your personal physician or urologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
