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Cancer: Prostate Message Board


Cancer: Prostate Board Index


I will be 73 next month; good health, 5-10 miles hikes in the mountains, para-gliding, etc.

Had a TURP done 2 years ago while having 2 half-inch stones removed from the bladder. The biopsy showed 2 cores with 5-10% of possible cancer cells.

Decided for watchful waiting.

My PSA decreased from 5.6 to 2.8 then 1.8 in June 2012, then jumped to 5.2 in September 2012.

In October, I lost my wife after 40 years of marriage, love and happiness. It is very hard, I thought a lot about ending my life.

In Jan. 2013, my PSA was 21.5 !!! I couldn't believe it.

I am stuck in France for a year or two. The urologist here tells me that, with a PSA this high, radiation is out of question, the only option is RP, that he would perform (of course). The MRI was inconclusive, showed 2 bad spots, well confined inside the gland.
He gave me an antibiotic treatment for a week, then a new PSA next week, just in case the PSA rise was due to an infection.

Biopsy in April, when I will have a friend (actually a college sweetheart I lost track of 35 years ago) coming to take care of me for a few days.

I have 4 questions:
- is such a quick PSA rise (5.2 to 21.5 in 5 months) a common thing in my age bracket ?
- is it possible that the distress of losing my wife was a factor ?
- is it true that RP is the only option, based only on PSA ?
- if it is RP, which is better open or da vinci ?

Thanks for the input.

Live long and healthy.

J.F.
[QUOTE=jfbfmc;5143417]I will be 73 next month; good health, 5-10 miles hikes in the mountains, para-gliding, etc.

Had a TURP done 2 years ago while having 2 half-inch stones removed from the bladder. The biopsy showed 2 cores with 5-10% of possible cancer cells.

Decided for watchful waiting.

My PSA decreased from 5.6 to 2.8 then 1.8 in June 2012, then jumped to 5.2 in September 2012.

In October, I lost my wife after 40 years of marriage, love and happiness. It is very hard, I thought a lot about ending my life.

In Jan. 2013, my PSA was 21.5 !!! I couldn't believe it.

I am stuck in France for a year or two. The urologist here tells me that, with a PSA this high, radiation is out of question, the only option is RP, that he would perform (of course). The MRI was inconclusive, showed 2 bad spots, well confined inside the gland.
He gave me an antibiotic treatment for a week, then a new PSA next week, just in case the PSA rise was due to an infection.

Biopsy in April, when I will have a friend (actually a college sweetheart I lost track of 35 years ago) coming to take care of me for a few days.

I have 4 questions:
- is such a quick PSA rise (5.2 to 21.5 in 5 months) a common thing in my age bracket ?
- is it possible that the distress of losing my wife was a factor ?
- is it true that RP is the only option, based only on PSA ?
- if it is RP, which is better open or da vinci ?

Thanks for the input.

Live long and healthy.

J.F.[/QUOTE]
J. F.

This has been a difficult time for you. Thinking clearly would be difficult for anyone who has undergone such changes in so short a period. Nonetheless, your appearance here is a sign of good thinking. Well done.
First, that doctor is absurd and not worth the title. I question any other information or advice he/she provides. Your history of urinary issues means that any psa should be considered in that context and an immediate discussion of treatment is premature.
His recommendation of surgery over radiation for a man of your age and with pre-existing conditions is dangerous, in my opinion.
France has radiation options as good as any and I challenge your doctor or anyone in this group to find another doctor who would make that same recommendation.

To your questions:

Such a psa rise is uncommon in any group of men, at any age
I know nothing about stress, loss and grief and effects on psa
RP should never be the first choice, or only choice for a man with your personal factors

Keep your thinking clear. If you have a second opinion option then consider using it when it comes to biopsy and treatment options. Never use for your second opinion a member of the same professional group as your first opinion.





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