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Post MRI report seems bad.
Had my first MRI after PSA jumped from 3.1 on April 2021 to 13.6 on Feb 2024 then a week later to 15.6. Was tested for possible infection but came back negative so the MRI was scheduled. The Report Impression: Highly suspicious lesion of the anterior right apex as above marked for possible fusion biopsy. The lesion…
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Need advice
I am 71 years old. For the last 3 years my PSA fluctuates between 3.8 and 5. Last PSA was 4.9 in January 2024. On February 28 had mpMRI. The results are: IMPRESSION: Prostate hyperplasia PIRADS 2 - Low (clinically significant cancer is unlikely to be present). Nonspecific bilateral external iliac adenopathy (1.0 cm short…
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Thoughts on Muse or Penile Injection
I was diagnosed with prostate cancer in the summer of 2022 at the age of 62 not because of symptoms but a doubling in PSA over a year. At the time of diagnosis I had a PSA of 3.8. Biopsy results came back with Gleason scores of 4+4 on both sides and scans showed a slightly enlarged prostate and a lesion with a PIRAD of 5…
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Incontinence fix – ATOMS, AUS or AdVance?
After my RP in 2015 and follow-up salvage RT in early 2016, I gradually became dry and life was sweet. A few years ago, due to complacency I began to slacken off with Kegels and became used to the idea of wearing a shield during the day while still being dry overnight. A little over a year ago, I hurt my back and it is if…
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What if radiotherapy fails
Just about everything I've been reading indicates modern radiation treatments properly administered are statistically superior to Radical Prostatectomys concerning quality of life issues. Sounds like they're equally effective. I've now been advised by two different radiologists that 5 weeks IMRT is a good first course of…
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Artificial sphincter
Hi. I had a prostatectomy in 2020. Earlier this year I had the Proact balloons for incontinence put in and it was a disaster. It took 4 months of poor Healthcare and pain before I got them removed. I'm currently going through 6 pads a day and use a clamp at times. Now I'm looking at getting the artificial sphincter. I…
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Am I a candidate for SBRT?
Hello. I am 68 with a recent biopsy detecting 5 samples (out of 12 total) showing Gleason of 6 and 1 sample showing 7 (3+4). My Urologist's referral was to a specialist within the same system that performs IBRT and that treatment is scheduled to start next month. However, on line researching suggests to me that I might be…
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Am I wrong in my wishful thinking.
Hello everyone. I’am 70 from Southern Ca. For years my PSA was stable at 1.9, then in Nov 21, it jumped to 3.0 (had Covid in Sept and studies indicated could cause increase). Retested Jan 22, fell to 2.7, retested July 22, fell to 2.4 (thought out of the woods) then when my regular Nov 22 test it rose to 4.0, then down to…
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Decision time on Surgery & Radiation, all test done
Thanks again for all the help in these past few weeks, my PSMA Pet Scan Results have arrived. At this point (waiting on Decipher Test) I am done with testing. At this point I am leaning towards SBRT & Hormones for 6 months. I meet with my urologist tomorrow and then Radiologist, Oncologist on Thursday and Friday to hear…
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Orgovyx stomach pain side effect
For those of you taking ADT med ORGOVYX.. I began taking Orgovyx about 2 1/2 weeks ago as a replacement for FIRMAGON which I initially took for 2 months with only minor side effects. Now on Orgovyx I have developed upper stomach cramping in upper abdomen just under rib cage. I have some history with diverticulitis but it…
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2024 list of Medicare PCa approved treatments.
I am getting my transperineally fusion targeted biopsy at the end of the month. I have been trying to prepare for treatment options from AS to surgery and all points in between. Keeping busy keeps my anxiety well-directed! 71 y.o. with an Advantage plan. My first option would be to remain fiscally efficient and start with…
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Active Surveillance or Surgery?
Hi, I'm 53 years old and was diagnosed with Stage 1 prostate cancer a few weeks ago. My Gleason score is 6 (3+3) in 3 cores from the left lobe with no perineural invasion seen. My PSA was 3.58 on finasteride. My Urologist recommend Active Surveillance at this point, opposed to surgery or radiation. I'm having a hard time…
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Update on 2010 diagnosis and treatment
In 2010 at the age of 59, I had Da Vinci surgery with a Gleason 4+5=9 and PSA of 9. Post surgical biopsy showed all margins clear with no seminal vesicle involvement and Gleason post-op score was changed to a 4+3=7. Subsequent PSA was non-detectable as tested every three months for the first two years. Five years after…
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Creatine while on Lupron to help with muscle loss?
Anybody try it? My doc says he thinks it’s okay, but I’m wondering if it helps along with resistance training. Thanks.
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Different Types of Prostate Biopsies
I know of the perineal versus the rectal ones but I'm confused about the length and involvement of the procedure. As I mentioned in the other thread, I'm due to have a transperineal one this coming Monday. I will be on full anesthesia and it could be several days before I'm recovered. I don't know if all require an enema…
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Keytruda
Back in Aug 2023, I tried to find folks being treated with keytruda for prostate cancer. No luck at that time. Let’s try again - anyone out there on keytruda?
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Hello…wife needs help!
Been reading thru a lot of posts and so much info! I am new to this site and was hoping to get some feedback. My husband had the robotic RP in 2018 and has been getting PSA checks every 6 mo since. It’s pretty much all this time outside of about 3 months post surgery being 0.00, hovered in the .03, .04, .05 all these last…
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Benign biopsy. Confirm MDX test results: 21%< =G6; 15%>=G7
I had a MRI fusion transperineal biopsy. 26 cores benign. My urologist ordered a Confirm MDX test. Results show: Likelihood of prostate cancer on repeat biopsy: 36% 21% likelihood of detecting Gleason score < = 6 cancer 15% likelihood of detecting Gleason score >=7 cancer It is recommending for a second biopsy. I guess I…
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PSA Value at 0.54 on 1/24/24
I had Prostate Cancer in 2018 and had radiation treatments all was good but now my value is all over the place since then on 11/17/21 V @ 0.7, on 3/15/22, 1.84 on 3/30/23 0.38, on 8/7/23 0.26, 1/24/24 0.54 is this common?
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Prostate Health Index
Haven't been here for several months so maybe this is an old topic. My friend has a PSA of 4 - got there slowly over many years. He's now 80. His Dr. told him his PHI indicates he has a 50% chance of having (or getting cancer) and is going to do a biopsy to sort out what, if anything, needs to be done. On my cancer journey…
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Living with an AUS- Bikes, etc
I have had my AUS in now just over a yr. I have not ridden a bike for years and bought one this summer. I can't help but notice, riding a bike- specificly using the bike seat- causes me to leak. Life with a AUS- how is it going for you?
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Lurker finally posting....
I've known for the last 45 days that I have prostate cancer that requires treatment (65 yo in very good health). And I am committed to whatever treatment I select. I have been reading posts here for the last 30 days and I have found those posts to be very informative. Very useful. Plenty of YouTube vids to boot. But I am…
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wait time for targeted biopsy after initial MRI
Just got my MRI. PSA rising slowly for 3 years from 4.0 to 5.1. The MRI indicates a pi-Rad level 4 lesion 10 ml, well defined with no infiltration. Either base peripheral zone 11 to 12 o clock or transitional mid gland zone 11 to 12 o clock. Will get the location cleared up. I have an MRI fusion targeted biopsy scheduled…
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Newly Diagnosed Very high PSA
My husband was recently diagnosed. Very health, fit 65 year old. Went in for a physical because he never goes to the doctor and they ordered a blood panel. Doctors office called him and told him his PSA was 44.74 and they referred him to a urologist. Since then he has had an MRI which showed 2 lesions rated PIRAD 4 Biopsy…
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Cost of Orgovyx
I am 61 years old and have been told I need to go on hormone therapy. I was considering trying to convince my urologist to get me on Orgovyx, but he explained (and I found out after doing some research) that it is pretty expensive, and also said that my insurance (I am still working at 62 with insurance through Blue Cross…
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18 months post RP
Just got PSA < .1 So far, so good.
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Rapid rise in PSA, recently diagnosed
I have recently been diagnosed with prostate cancer following a biopsy in early January (gleason 6, 6 cores positive, 5%-50%, PI). At my follow up appointment my urologist recommended active surveillance with an MRI in 3-4 months. At that point, he said the cancer was "far from scary". They told me to get another PSA last…
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Elevated PSA
My PSA rises quickly recently. Table below is my PSA history Date Value Free PSA % of Free PSA 2/15/24 5.43 0.96 17.7% 1/9/24 4.2 0.9 21.41 11/21/23 4.20 0.8 19.04 11/14/23 4.80 N/A 2/27/23 2.15 N/A 7/2/20 2.00 N/A My MRI PIRADS = 2 (12/15/2023) Prostate size MRI result (12/15/2023) 4.7 x 5 x 4.1 cm (length x width x…
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Salvage surgery it is
Everybody knows my story been going on for about eight months I’m really really tired of the scrap PSA scan then another scan and MRI then a biopsy then meet with a radiologist meet with a cryotherapy doctor meet with two different surgeons radiations out of the question that guy screwed me. I asked a point blank about…
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MRI fusion Prostate Biopsy next Monday. I am doing a lot of research, and have many questions
This is a great forum. I just scratched the surface and I have so much more to research on this. For now, this is what I have. I am 68. I live in Southern California. I have Medicare and medigap insurance. In early 2022, my PSA was 3.9. By November 2023 it went up to 5.3. My PCP gave me referral for a urologist who asked…