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BANGKOK 18 March 2019 21:06
LannaGuy

PSA test

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You have a problem with my post? Specifically what, pray?


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What dimension? Cubing a dimension only gives correct volume for a square and the prostate is only a square if it is cut out and forced into a square container. Does not work for a rectangle or other shape.

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What dimension? Cubing a dimension only gives correct volume for a square and the prostate is only a square if it is cut out and forced into a square container. Does not work for a rectangle or other shape.


Not trying to be contrary, but the volume of a sphere is 4/3pi.R cubed


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Actually I didn't ask this time, but will do on my follow up visit on Monday........having said that it has always been 30 ml or thereabouts if my memory serves me well, and just about every specialist has commented; "you have a small prostate".
 
However that may well have been said in the context of them looking for signs of BPH and not finding any outward sign??


Oh for a 30ml prostate :)


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Oh so your prostate is a sphere?

 

1. No I didn't mention rectangle.

2. I think it's useful information to be aware of this very common cause of high PSA and what a large difference in volume/PSA a typical rise in dimension can cause, so I passed it on. Anyone can see the principle will hold for shapes that are even vaguely spherical, including my urologist.That's it.

 

 

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2 hours ago, idman said:

A PSA and Free PSA test should only be used as a baseline, too often you get a high number and you freak out and your Urologist wants you to have a biopsy. That my friends causes a lot of unnecessary worry. The Doctor who came up with the PSA test in the first place has gone on record as saying it is no longer valid for a diagnosis of Prostate cancer. Since you can screwer the results of the test by riding your bicycle a lot before the test or ejaculating within 72 hours the best thing is to have another test done within 4 to 6 months and see what the numbers are then. 92% of all males over 70 are going to die with Prostate cancer present in their body and NOT FROM Prostate cancer. That percentage is not some pie in the sky it is based on numerous studies both in Europe and America. If after three or four PSA tests the numbers are high then a biopsy is warrented and after the results are back if your Gleason number is below three then watchful watching is the best course with twice yearly PSA tests and maybe a biopsy once a year depending on the numbers from your PSA tests. How am I so knowledgeable???? I have Prostate cancer now for six years but my Gleason numbers remains low, I have altered my diet, I take better care of myself and I follow the advice I gave above. I will die with this cancef not from it.

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good for you thanks for info... changed diet?  you mean cutting down proteins?  alcohol?  caffeine?  do you take a biopsy once a year?  I had read that many advise against it but go for a non-invasive scan?

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6 hours ago, idman said:

A PSA and Free PSA test should only be used as a baseline, too often you get a high number and you freak out and your Urologist wants you to have a biopsy. That my friends causes a lot of unnecessary worry. The Doctor who came up with the PSA test in the first place has gone on record as saying it is no longer valid for a diagnosis of Prostate cancer. Since you can screwer the results of the test by riding your bicycle a lot before the test or ejaculating within 72 hours the best thing is to have another test done within 4 to 6 months and see what the numbers are then. 92% of all males over 70 are going to die with Prostate cancer present in their body and NOT FROM Prostate cancer. That percentage is not some pie in the sky it is based on numerous studies both in Europe and America. If after three or four PSA tests the numbers are high then a biopsy is warrented and after the results are back if your Gleason number is below three then watchful watching is the best course with twice yearly PSA tests and maybe a biopsy once a year depending on the numbers from your PSA tests. How am I so knowledgeable???? I have Prostate cancer now for six years but my Gleason numbers remains low, I have altered my diet, I take better care of myself and I follow the advice I gave above. I will die with this cancef not from it.

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That applies to the Free PSA test, not the total PSA test.

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3 hours ago, LannaGuy said:

good for you thanks for info... changed diet?  you mean cutting down proteins?  alcohol?  caffeine?  do you take a biopsy once a year?  I had read that many advise against it but go for a non-invasive scan?

A scan - MRI? once a year? That seems excessive. You would also have to head down to Bangkok to have it done. I think an MRI once a year is over the top. I've never heard of it. I've also never heard of a once a year biopsy. I had the biopsy about 3 years ago. I'm glad I had it. No cancer, so now I check the PSA and DRE twice a year. The doctor pushed for a 2nd biopsy 18 months later, then backed off. For a couple of years I did the PSA and DRE 4 times a year but now the doctor feels twice a year is fine for the time being.

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I visited my Dr in London having seen a small speck of blood in my urine. He said it was probably a small stone but on hearing I had private insurance suggested I saw a prostate cancer specialist. 

 

I went along and had a finger probe which found a slightly enlarged prostate and a PSA which was found to be slightly  high. He strongly recommended a biopsy which I then went for and after a very painful session I went back to then specialist the following Friday. On reviewing the results he said I needed urgent treatment and offered some various alternatives but as he was a surgeon he said that if I was his father he would recommend a radical prostatectomy ( removal of the prostate). I asked when this could happen and he said he wanted me in for the operation the following Monday.

 

After the op they did a biopsy on the removed prostate and found that the cancer spread to the outer wall without going through. I subsequently had a review of the level of success of the op and the Dr said I had a 70% chance of living 10 years. I was 57 at the time so that didn't sound too bad. I still had a PSA done every year and to my great surprise after 8 years I was advised that my PSA was slowly starting to move higher. I was then advised and had 30 sessions of radiotherapy.

 

I have just turned 76 years old - 19 years on - and have read so many different results of studies and reports over the years about the best way to detect and treat  prostate cancer.

 

I like to keep things simple. If I have the choice to undergo a procedure whose results may give me unnecessary concern as they may be misleading but in some cases will find a life threatening situation that can be treated or to say I will only proceed with tests that studies have proved are 100% correct and reliable, I will go with the former. Maybe it is my cautious nature but I was most fortunate enough for that approach to work for me.

 

As an aside I understand the procedure I had that long time ago has advanced considerably and my doctor now uses a robot for the op which is much more precise in the cutting and greatly reduces the subsequent chance of impotence or incontinence.

 

What the operation clearly didn't do was to cut down on my waffling on and on, so I will end there.

Edited by lelapin
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On ‎1‎/‎9‎/‎2017 at 3:15 PM, d4291797 said:

Dr Morgan at Hang Dong, about 650 baht for 'total psa'.


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How to find this Dr. Morgan ?

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Again a very emotive subject!
What one is looking for ,is a spike in PSA levels, or a 'doubling' as the urologists say.
Critical if there is a spike , is to find the cause , which can be a big inflammation of the gland or it could be the start of cancer.
Yes biopsy does have risks and is bloody unpleasant ,unless you have a G/A! But critical again to catch this early.
A very successful treatment is Cyberknife, google ,and go to their forum.
Very informative. Every case is different, as is the result, every Dr or Urologist will 'push a barrow'!!!
Generally if caught early ,therefore requiring lower dose radiation, Cyberknife will be better at retaining normal body function.
However if high PSA and more than a T1 tumor, with a high Gleason score there can be issues with radiation damage to the urethra, causing a stricture.
Sorry this is a ramble, but one needs to be informed.
My PSA 12, T1 tumor , Gleason 8, which means very aggressive cancer.
After Cyberknife my PSA now 0.9, have has issues with urethral stricture.
But all body functions 100%.
Chairman of my local prostate cancer support group ,had the DaVinci robotic procedure, poor guy has not had an erection since!
Plus with surgery you do end up with a reduced length penis.
One can only do research and be guided by gut feelings.
Diet is critical, together with detox.
But catch this early in its infancy, and one has every chance of retaining quality of life.


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