1yr Update Since Diagnostic

[Jager2014]

So not much to report since a year ago have been doing the “active surveillance “ route have a Gleason 3+3 Last two PSA screenings are 2.4 have not moved. On Uroxatral 10mg and Proscar 5mg. BPH has gotten a lot better. Last biopsy came back negative and MRI was clear.

So my question is can BPH show a false positive for prostate Cancer ? I’m a little confused with what’s going on after reading so many of your stories.

Looking for ideas to ask Urologist.

Thank you

[Tall_Allen]

Congratulations on your negative biopsy! That happens to half the men onAS using Proscar. That means there isn't much prostate cancer so it is hard to find on a biopsy - not a false positive, but perhaps an overdiagnosis.

[aceace12 in reply to Tall_Allen]

what does proscar do ?

[Tall_Allen in reply to aceace12]

It shrinks the prostate and seems to provide some control for G6 (but not higher grade) cancer.

[aceace12 in reply to Tall_Allen]

ok thank you

[Jager2014 in reply to aceace12]

Ur welcome

[aceace12 in reply to Tall_Allen]

why would doctors not prescribe proscar for all AS patients with gleason 6 if there health and or side effects would not interfer .. ?

[Tall_Allen in reply to aceace12]

There are sexual side effects in about 20%. It is only given to those who have BPH too.

[aceace12 in reply to Tall_Allen]

ok thanks, im baffled at MRI showing pirads 3 ...last PSA 2,75

[Tall_Allen in reply to aceace12]

It's equivocal about suspicion. Not a diagnosis.

[aceace12]

so if your last biopsy came back negative do you still consider you having a gleason 6 ?

[Jager2014 in reply to aceace12]

Im waiting for a answer from my urologist on that .