Newbie

[Palpal6]

A friend told me about this site and I thought I would check it out . 60 years old psa creeping up 4.1 and had a truss biopsy 11 neg 1 high pin that was in January, June psa 4.1 and urologist told me Mri in October and it showed 3 pirad and a 4 pirad now I have appointment Monday to talk to urologist and see about bore biopsy or MRI targeted not sure where I will have to go for that . I live in Panama City beach and none of the hospitals have it here so hopefully the urologist can lead me in the right direction sorry about the rambling

[Tall_Allen]

I hope it's still negative - let us know.

[Palpal6 in reply to Tall_Allen]

I sure will and thank you for the good thoughts

[Currumpaw]

Hey Palpal6!

It seems that MRIs are a topic today.

The mp 3.0T MRI is the best. If necessary an in bore, real time, biopsy can be done. One of the best in the country is in Atlanta, Georgia.

Busch Center Opens State-of-the-Art Prostate Cancer Facility

prweb.com/releases/busch_ce.....

I have never spoken to this doctor but he is one of two whose careers I have followed that I would choose. They are conservative when biopsying and very accurate. They have excellent reviews from former patients.

The second doctor is Dr. Karamanian in Texas.

Currumpaw

[Palpal6 in reply to Currumpaw]

Thank you currumpaw for the information!!

[j-o-h-n]

Greetings.

If you're going to have a needle biopsy have the doc knock you out. They are not very pleasant. Most urologist do not want to put you under sedation since it requires an anesthesiologist and generally in a hospital setting, not in his/her office. It's up to you.

Good Luck, Good Health and Good Humor.

j-o-h-n Wednesday 10/28/2020 2:52 PM DST

[Palpal6 in reply to j-o-h-n]

Oh no I’m going to get knocked out my doctor knows me lol !! But thanks for the good advice!!

[doc1947g in reply to j-o-h-n]

I am 73 y.o. with a G(4+3=7) Grade 3 Unfavourable Intermediate Risk.

I had 12 cores biopsies under local anaesthesia, not the gel but Lidocaine 2 % injections.

I did not feel ANY pain but felt 12 pushes, period.

If you have a urologist that have done thousands of biopsies, you should not fell any pain.

6 positive cores on the right lobe but on my planning VMAT-RT Cat-Scan they found many tumors in both lobes.

And now PSA = 0.03 µg/L and T = <5.7684 ng/dL. Just the way my RO and my Urologist want.

[j-o-h-n in reply to doc1947g]

Unfortunately I later found out my urologist is legally blind....

Good Luck, Good Health and Good Humor.

j-o-h-n Wednesday 10/28/2020 4:28 PM DST

[doc1947g in reply to j-o-h-n]

Now I understand why it hurts, he was using his white cane.

[j-o-h-n in reply to doc1947g]

LOL....... and his seeing eye dog snapping at my feet at the same time....

Good Luck, Good Health and Good Humor.

j-o-h-n Wednesday 10/28/2020 4:41 PM DST

[doc1947g in reply to j-o-h-n]

Was the dog trying to eat your familly jewells?

[j-o-h-n in reply to doc1947g]

Nope.... the doctor was.....

Good Luck, Good Health and Good Humor.

j-o-h-n Wednesday 10/28/2020 4:50 PM DST

[doc1947g in reply to j-o-h-n]

Change doctor FAST.

[doc1947g in reply to j-o-h-n]

But seriously I would like your opinion on that site:

healthunlocked.com/prostate....

Thanks

[j-o-h-n in reply to doc1947g]

Well I've had two cystoscopes by two different urologist. But just a routine exam no problem with burning sensation when urinating. Both of them were a breeze and "no biggie" I read where T A is against it and I would listen to him (he knows his stuff). Did doc check you for a UTI? Do you have a high temperature? I wish I could advise you more...and I do hope it's nothing serious. Keep us informed....

Good Luck, Good Health and Good Humor.

j-o-h-n Wednesday 10/28/2020 5:20 PM DST

[doc1947g in reply to j-o-h-n]

I had 2 urine analysis and cultures that both were negative. I knew that the test is easy and does not hurt.

The thing that worried both my RO and my urologist is the fact that I have that problem for over 2 months.

So they want a cystoscopy to see if it is only irritation or the VMAT-RT has damaged the penine bulb which was irradiated for about 5 cc.

The urologist is not planning any biopsies. Just IN, look prostatic sphincter and the bladder sphincter, then OUT.

[j-o-h-n in reply to doc1947g]

Well it sounds like and "in and out" procedure that's anything that can't be resolved quickly...Bring a stop watch with you to impress upon them that they complete the test quickly... You may also want to do loud "TICK TOCK" sounds at the same time.

(I hate all this shit we have to go through)...

Good Luck, Good Health and Good Humor.

j-o-h-n Wednesday 10/28/2020 5:49 PM DST

[doc1947g in reply to j-o-h-n]

I talked to my Urologist and he told me that 1st the cystoscopy was needed to check the 2 sphincters and see if there is inflamation or irritation or scarring in the urethra, 2nd he NEVER had any case of patients getting permannent damages to the urethra.

And 3rd, I checked an my urologist is NOT blind and does not have a white cane neither a dog, So I am safe for that.

Have a good weekend.

[j-o-h-n in reply to doc1947g]

Well tell your doctor he may never had any case..... but I HAVE (it's a long story and it's me)....

Check his hearing.....

Have a good weekend.

Good Luck, Good Health and Good Humor.

j-o-h-n Friday 10/30/2020 2:53 PM DST

[doc1947g in reply to j-o-h-n]

You too!!!

[j-o-h-n in reply to doc1947g]

Me too...........

Good Luck, Good Health and Good Humor.

j-o-h-n Friday 10/30/2020 5:16 PM DST