Finally got to see the Urologist.

[Irelandy]

After a very anxious five weeks wait I finally got to see a Urologist. My PSA was 22.5 five weeks ago. He performed a DRE and examinined my medical history. He said that there were no abnormalities with the prostrate and that the spike most likely had been caused by a UTI. My previous PSA was 0.78 in January 2018.

They are going to check PSA again one week after I finish my current antibiotic.

I would like to thank everyone for their support following my previous post and hope this may be of some help to those in a similar situation.

[Tall_Allen]

Keep in mind that prostatitis often does not respond to antibiotics. It often remits and relapses on its own. A sudden large jump in PSA is often a good indicator of prostatitis.

[GP24]

A DRE is not very reliable to detect cancer. Since you have a PSA value of 22.5, which would put you into the high-risk category if cancer is detected, I would suggest a biopsy to rule out cancer.

[Filotimo62]

Have a biopsy!

My partner was told that his spike in PSA was due to UTI twice over 18 months. Cancer was not even discussed. He was too young, too healthy etc etc...

BUT UTIs for men are not that common. Eventually had an biopsy and Grade 4 4+4 (Gleesan 8) prostate cancer. Then he was told his UTIs were due to the cancer... I wish I had been pushier and not let my partner just wait and see. You blokes have to be harassed into things some times.

Ask for more tests.

[Irelandy in reply to Filotimo62]

Thanks for your thoughts and advice. My UTI was as a result of my having to self catheterise as my bladder has not been emptying for years and it may have been a factor in my ckd4.

And yes I will have a biopsy. I have another PSA scheduled for two weeks time, and if the PSA has not dropped to the previous figure. It was 0.78 in January 2018.

[j-o-h-n]

You know you can "insist" to have the biopsy while under anesthesia. A lot of doctors don't like to do in hospital setting, but you should insist upon it. I would if I had to do it over again. (This time I'm not joking).

Good Luck, Good Health and Good Humor.

j-o-h-n Friday 04/05/2019 9:01 PM EDT

[teamkv in reply to j-o-h-n]

Very good to know this. Filing this one away. Your are a dear, John!! (No this is NOT a Dear John letter btw 🤣)

[j-o-h-n in reply to teamkv]

Thanks.... I would love to get a dear j-o-h-n letter from my ex-wife's embalmer. 👀👀

(who says I'm bitter?).

Good Luck, Good Health and Good Humor.

j-o-h-n Saturday 04/06/2019 8:40 PM EDT

[monte1111 in reply to j-o-h-n]

Whaaaaaaaaaaaaaaat???? I am going to go beat the crap out of my urologist. Better yet, I'm going to give him a prostate biopsy. See how he likes it.

[j-o-h-n in reply to monte1111]

I second the motion....

Good Luck, Good Health and Good Humor.

j-o-h-n Sunday 04/07/2019 5:55 PM DST