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Checking the Prostate
Oct 30, 2009 08:52PM in the Prostate Cancer Expert Forum
Thank you for your question. You raise an interesting question about when should a man begin screening for prostate cancer and how should it be done. The AUA (American Urological Association) guidelines call for annual screening of "men 40 years of age or older who have a life expectancy of at least 10 years. Men who wish to be screened should have both ...
Assessing repeat biopsy
Oct 25, 2009 09:45PM in the Prostate Cancer Expert Forum
Thank you for your question. I can imagine the anxiety you are facing with these repeat evaluations. You are a good candidate for expectant management with periodic PSAs, Digital rectal examinations, and biopsies is par for the course. A repeat biopsy showing more than 2 cores positive and/or more than 50% cancer on any one core would be reason to seek out...
testical pain
Oct 25, 2009 09:17PM in the Prostate Cancer Expert Forum
Thank you for your question. I believe this topic has been covered extensively before in this forum. However, the causes of testicular pain can be ambiguous. They include 1) trauma 3) torsion (twisting of the testicle) 4) epididymitis (an inflammation often caused by infection of the testicle related to a sexually transmitted disease. To a lesser extent 1) te...
throbbing pain in left testicles
Oct 25, 2009 09:11PM in the Prostate Cancer Expert Forum
Thank you for your question. Testicular pain could be caused by a host of different things 1) hernia 2) trauma 3) torsion (twisting of the testicle) 4) epididymitis (an inflammation often caused by infection of the testicle 5) testicular tumor 6) kidney stone. Testicular pain should be considered an emergency unless proven otherwise. It would be prudent fo...
High PSA after Green-Light?
Oct 25, 2009 09:04PM in the Prostate Cancer Expert Forum
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 c...
stomach pain & bleeding
Oct 17, 2009 03:12PM in the Prostate Cancer Expert Forum
Thank you for your question. Gastrointestinal symptoms are often hard to pinpoint the cause. This abdominal pain could be a consequence of the radio-therapy. Again, a physical examination, colonoscopy or sigmoidoscopy is warranted to rule out any serious co-existing disease. Ashutosh (Ash) K. Tewari, MD www.cornellroboticprostate.org This forum is f...