TURP: I am new here . I am... - Advanced Prostate...

Advanced Prostate Cancer

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TURP

moon33 profile image
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I am new here . I am a 78 year old male that had TURP in Feb 2020. In June of 2021 my PSA was 2.2. In September 2021 it was 3.73. I have an appointment with my Urologist in Mar of 2022. What should i expect?

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moon33
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Tall_Allen profile image
Tall_Allen

If you had a TURP a couple of years ago, they examined the tissue they removed and didn't find any prostate cancer. So your PSA is attributable to benign causes - either benign enlargement of your prostate or benign prostatitis. If you have no symptoms of either, you can do nothing. You can ask for a Prostate Health Index (PHI) test to help eliminate benign causes in the future.

Big_Mcc profile image
Big_Mcc

get an MRI. I had BPH for years. Elevated PSA and my GP kept telling me my PSA wasnt a problem regardless of the fact it was steadily increasing. Finally, after I couldnt urinate, I had a catheter for 6 months and then a TURP. Surgeon told me no cancer after tissue testing. Urination problem fixed but after 3 months PSA was still high, 28. Refered and 2 months later an MRI showed stage 4 PCa, confirmed by needle biopsy 3 weeks later. Dont trust PSA as being 100% right. Get a scan if you can.

j-o-h-n profile image
j-o-h-n

Greetings moon33,

Please tell us your bio. Age? Location? When diagnosed? Treatment(s)? Treatment center(s)? Scores Psa/Gleason? Medications? Doctor's name(s)?

All info is voluntary, but it helps us help you and helps us too. When you respond, copy and paste it in your home page for your use and for other members’ reference.

THANK YOU AND KEEP POSTING!!!

Good Luck, Good Health and Good Humor.

j-o-h-n Monday 01/31/2022 6:17 PM EST

About 10 years after TURP for BPH a suspicious DRE got me sent to a urologist for a biopsy at age 66. My PSA was only 2.7 at this time. Biopsy indicated Gleason 8 in one core, 6 in one core and 7 in remaining 3 cores that were positive. You probably should get a biopsy.

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