Oct 07, 2009 10:18PM in the Prostate Cancer Expert Forum
Thank you for your question. The prostate is where approximately 1/3 of the fluid found in semen is created. This fluid helps in the motility of the sperm. Addressing your question, one would not expect the presence of blood after biopsy to make any discernible difference in the survival of the sperm (although there may be some differences in the pH levels). ...
Oct 07, 2009 10:12PM in the Prostate Cancer Expert Forum
Thank you for your question. A TRUS guided prostate biopsy is usually a safe and well-tolerated procedure. However, complicatoins can include blood in the urine (hematuria), in the semen (hematospermia), or in the stool, and a dull ache in the perineum (area between the anus and the scrotum). Sometimes blood clots may form in the bladder, as well. Infection...
Oct 04, 2009 03:52PM in the Prostate Cancer Expert Forum
Rectal bleeding following external beam radiation treatment for prostate cancer is a known side effect. The published literature suggests that anywhere between 5-20% of men who have external beam radiation will experience acute or chronic radiation proctitis (inflammation). Patients should get a sigmoidoscopy or colonoscopy if they have rectal bleeding or...
Oct 03, 2009 11:39PM in the Prostate Cancer Expert Forum
Thank you for your question. It is not unreasonable to perform a biopsy for a PSA level of 3.2 at 48 years old. Established risk factors for prostate cancer include african american race and first degree relative with the disease. Furthermore, your urologist may be suggesting a biopsy based on DRE (digital rectal examination) findings. Sincerely, Ashut...
Oct 03, 2009 11:32PM in the Prostate Cancer Expert Forum
What were your previous PSA levels?
Oct 03, 2009 11:28PM in the Prostate Cancer Expert Forum
Thank you for your question. As I have performed over 2000 prostatectomies, this situation is all too familiar. There have been many methods in describing penile rehabilitation after radical prostatectomy. This can include taking a PDE5 inhibitor regularly or a PGE1 penile suppository. The medicines will theoretically cause an increase in blood flow to the ca...