2nd Opinions: Last winter, I had an... - Prostate Cancer A...

Prostate Cancer And Gay Men

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tr305 profile image
10 Replies

Last winter, I had an digital exam after my PSA increased. The doctor said he thought I had an abnormal prostrate and recommended a biopsy. I did visit another doctor to get his opinion of my condition. After another digital exam, he said he didn't think that my prostrate was that abnormal.

Has anyone else had an experience like this?

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tr305 profile image
tr305
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10 Replies
jctaylor profile image
jctaylor

Have you had your PSA checked?

tr305 profile image
tr305 in reply to jctaylor

Based on my urologist recommendation I had a biopsy. No PC but a couple of atypical cell clusters. 6 months later my PSA went down from .7 to .64 (I think I got the numbers right).

Leeaussie5 profile image
Leeaussie5

The results of a DRE can be a bit subjective. If your PSA has risen, the next step is an MRI. It will give a more accurate result than a DRE of what is going on.

jctaylor profile image
jctaylor

Those are certainly not alarming PSA numbers. My PCP didn't send me to a urologist 'till mine reached 2.9.

tr305 profile image
tr305

I think my doc was concerned about how my PSA increased in a month.

AllFixed profile image
AllFixed

Yes, and get the biopsy, my PvP said the prostate feels normal, but sent me to an urologist, same result, but he did order a mpMRI. That revealed 2 tumors, moved on to the biopsy which showed 4 tumors, had RRP mud June 2019. Pathology clean, cancer limited to prostate. ED now full, incontinence now minor,using pads, followup in October...good luck

Tall_Allen profile image
Tall_Allen

I once had a whole class of interns fingering my prostate. One of the girls needed to cut her fingernails. One uro was sure he felt something, another said no. Most doctors don't take the time or don't have the experience to examine it properly. I think gay men can help their friends out by giving them a leisurely prostate exam - "friends give friends the finger."

DREs are very controversial. There are a few other diagnostic tools to help decide whether a biopsy is warranted.

dadzone43 profile image
dadzone43

I did. Rising PSA, normal exam except for enlargement.

Remember: the examiner at best can only feel the lower half of the gland nearest the rectum. Shorter fingers and less force will not reach the front part either.

Kislig1961 profile image
Kislig1961

I seem to have a very different experience than the majority, I had numerous D.E.s and was told there was nothing unusual yet my P.S.A. was over 20 and rising rapidly followed up with ultrasound and M.R.I. and nothing of significance yet PSA continued into the high 20's , antibiotics for possible infection to no avail finally had biopsy with PSA in the 30's and cancer was detected, I guess my point is ever journey is different try not to be alarmist but proceed with caution and awareness

EdinBmore profile image
EdinBmore

Just echoing others' replies. DRE IS subjective and does not allow doc to feel the entire gland.

Ask for Prostate Health Index. MRI. Monitor PSA. If biopsy, then, MRI fusion guided biopsy. hopkinsmedicine.org/health/...

Good luck,

EdinBaltimore

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