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psa dre

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Q: A PSA of 1.2 and a free PSA of 18% with normal DRE is it warrant of prostate cancer?
initial symptom that send us to the doctor was hematospermia

A: Prostate-specific antigen (PSA) is only one indication of prostate cancer. Usually the PSA is elevated (greater than 10) and a free PSA of 10% or less. Your results , combined with a “normal” DRE would tend to rule out Prostate cancer.
In men over 40, hematospermia is rarely associated with cancer. (see second site below).
What did your physician say?

Q: Male, 53.Prostate is enlarged.PSA is 1.75. Get blood in the semen. Doctor rules out prostate cancer. Why this?
I am 53. Since Oct 2004, I am getting blood in the semen. My prostate is enlarged. Not abnormal. DRE and Sonography do not suggest prostate cancer. PSA is 1.75. I was affected by some form of STD when I was 22. VDRL was1 in 10. Treated with penadur LA6. Why blood in semen? I am not diabetic nor do I suffer from Hypertension. Please advise me.

A: The fact that you have blood in your semen and you do not have an active infection can be a sign of prostate cancer. You can still have prostate cancer even if your PSA is low. DRE and U/S are insensitive and ultimately the gold standard is biopsy.

Q: My PSA is 4.68 should I investigate further?
Since the protein specific antigen is only slightly elevated relative to my age, I realize that a number of things could contribute to my elevation!! It appears that the next step is the dreaded DRE!! On the fence about proceeding with other test!!

A: Yes u should…. as you know the range is from 0 to 4 ng now even though u dont mention things like your age and the conditions under the test was done…. remember that a few things could affect the results… if u had a rectal exam prior to it, if u have an enlarged prostate due to your age, among others…. in any case is better to play it safe so i would recomend you to definetly look further… and if its everything ok u will feel definetly better!!!!
Good Luck
hope was helpulf.

Q: Should I get a prostate biopsy?
I’m fifty years old. I started feeling pain in my groin and testicles two weeks ago and saw a urologist. A DRE was normal and my PSA was also normal (1.1). Urinalysis revealed no infections. By the time I saw the doctor, my pain symptoms had mostly subsided and he told me not to worry.

A few days later, my pain started again. For the past four days, I’m feeling aches at different times in my groin and upper thighs. I’m also feeling occasional pain in my penis and testicles. My urination frequency is slightly elevated.

The main reason I’m alarmed is because I’ve been feeling a lot of fatigue during the past month. My general practitioner diagnosed it as a probable sinus infection and prescribed two different antibiotcs, neither of which worked. I’m afraid my fatigue may be caused by possible prostate cancer, even though my tests were normal. I’m feeling a lot of stress. Is it advisable for me to ask my urologist to give me a prostate biopsy?

A: Pain of the penis, testicles, upper thigh and groin are not symptoms of prostate cancer. Symptoms are difficulty passing urine or emptying the bladder, dribbling after or before urinating, and a weak urinary flow. These are due to the enlarged prostate obstructing the urethra. See the urologist again about the possiblity of epididymitis, orchitis, testicular torsion, or testiclar hernia, all of which can cause the symptoms you describe, especially testicular hernia since you also have upper thigh pain – a frequent symptom for hernia.

Q: What does it mean? Could you please explain this result?
I am 31 years male.I had fever last month and so next day i went to see my doc. He ordered a urine test and they found small blood in urine dipstick test. In microscopic UA they found no wbc and RBC 0-2/HPF ( ref range 0-2/HPF). I was scared and i went to see an urologist. He did PSA and DRE test. PSA was 0.61 ng/mL and after DRE exam he told ” your prostate looks good”. Then he did a bladder empty test and said ” you are emptying your bladder completely”. Could you please let me know what above results mean?

A: When it says “No wbc” that’s good. WBC means white blood cells. If you have white blood cells in your urine it usually indicates a urinary tract infection (UTI) White blood cells are leukocytes which fight infections, That’s their job. So by the looks of it, you don’t have a UTI or prostate cancer. Good results.

Q: Why was he recommended for a biopsy?
My dad (55, no family history, healthy, normal weight, no previous problems) had the PSA and DRE tests, and the doctor said nothing about the PSA test to him.
Does this mean its normal?

Also, the DRE test proved there to be a small bump on the surface of a regular feeling prostate. The physician referred my dad to a urologist, who said the same thing. The Urologist said there was a very small chance for there to be prostate cancer (He jokingly said something along the lines of 0.1%, which was an exaggeration obviously, and he didn’t seem worried at all), but he said my dad should be safe and have the biopsy.
So of course my dad did that, and hes waiting on the results.
Do you think this is prostate cancer? And with prostate cancer and today’s medicine, would you expect him to survive (if he has it, God forbid) to 75+ (basically i mean would be live an average life span).

Thanks y’all, and neither of us are worried.
Both of you, thank you so much.
I can’t pick a best answer this early for some reason hahaha but thank you

A: Just be glad your father sounds like he has a very cautious team around him. They are sure it is not but requesting the biopsy is good sound medicine. The waiting for results is very very hard. They are starting to question the true validity of the PSA numbers.

I am praying for a quick test results and a negative response.

Q: What is the likelihood that…?
When a doctor sees his patient for the DRE and PSA, what are the chances…
1. The urologist will tell the patient his psa level if he finds it concerning?
2. That an abnormality in the prostate is dangerous for the patient (I mean a small lump)
3. That when a urologist tells a patient that there is nothing much to worry about, he is lying?

A: Do you mean what is the likelihood and they still have a license to practice medicine?
If you do not trust you doctor get another one or at least a second opinion.
Doctors are obligated morally and legally to tell their patients the truth and they do. They spend a large portion of their lives to become a doctor and to maintain their license why would they risk all of that to lie to a patient?

Q: What this is mean? Please help me to understand?
I am a 31 years male. Doc found blood in my urine in dipstick test. But in microscopic UA there was no blood. This is what doc did
1. Asked me to go to rest room and pee. Added some jelly like substance on my belly and did some ULTRA SOUND like test and told me that “you have nicely empty your bladder”

2, Did a DRE and told me “your prostate looks good”

3. Then took blood for Kidney and PSA test. Within 20 mins lab gave me Kidney test result and it was normal. They said it will take some time to get PSA result ( may be days)

4. Also, doc ordered CT scan with contrast for abdomen and pelvis. I will do this next week.

Could you please explain me what above 4 tests and their result mean? I was reading prostrate cancer and i saw DRE and PSA are the test. But did not understand purpose CT scan test.

A: Ultrasound looked at bladder emptying, which was fine.
Blood tests suggest your prostate is normal (along with exam/DRE) and kidney function is normal
CT is likely to rule out kidney stones (common source of blood in urine).

Having a dipstick show “blood” but then none evident on micro exam can mean there is hemoglobin spilling in your urine for sa variety of reasons or could mean lab error or just a transient episode of blood in urine that resolved between dipstick and micro. Would suggest if nothing shows up on CT, that the micro and dipstick be repeated and if still not in sync, get referral to a primary doc to work this up further.

Blessings

Q: Frequent urination. Sensitivity to wine and tea. Dry & thirsty in the morning.?
After one of many intense bike rides, I felt a burning sensation in my pelvic area and an excessive urge to urinate. I have experienced these symptoms after periods of vigorous exercise but they always subsided.
(I also have an inguinal hernia that hasn’t been repaired.)
This time, in addition to the burning sensation, I also experienced mild soreness around my hip. I also had a fever for one night only. A few times I experienced mild (kidney?) stones.
I stopped riding the bike, started drinking cranberry juice, and saw palmetto/nettle.
Since then, all symptoms have gone except for the more frequent than usual urination especially after drinking wine &and possibly tea. I never had a problem with wine before.
I also feel drier and more thirsty during or after the night.
My GP ruled out diabetes and didn’t find a UTI, even though I was sure I had one. The prostate seemed fine after a DRE, and the PSA seems OK. I still get up several times at night to urinate. I am 50+.

A: Sounds like you have urge incontinence from an overactive bladder or previous bladder infection.. I had the same, and still have to wear protection. I visit a urologist often. There are meds for it now, but don’t want to take any more. I am careful not to drink certain fluids that don’t allow me to hold it when I get the desire to go. My PSA is about 6.5 and has been steady. I am 58. I had all the tests including biopsies.

Q: Please explain this to me?
I am 31 yrs male. Went to do a urologist. Had little blood in dipstick test. Microscopic was 0-2 RBC/HPF ( ref 0-2/HPF). PSA was 0.61ng/ml. DRE:- 1+smooth symmentric prostate, little larger on right tahn left. There is a minimal asymetry

A: It means everything was normal.

Q: Concerns prior to scheduled Prostate Cancer Biopsy and I am hoping someone (perferrably a urologist) can?
assist me in making an informed decision. I am scheduled to have Prostate Cancer Biopsy on 05/24/07. Here is a brief history of events up till now:
Vital statistics and hx are as follows: Age: 38; Sex: Male; Ht: 5′ 5″; Wt: 162 lbs; Father: recently passed away at the age of 73 2ndry Prostate Cancer which got metastasized and as a result he had bone cancer as well; Mother: has diabetes and previously has had benign tumor removed; Older Brother: Healthy; Race: Asian-Indian.
On 04/23/07 blood test done and the results indicated PSA level of 3.5, subsequent to this FreePSA test done on 05/04/07 and PSA level: 3.68. The normal range is 0-2.5. Based on some some chart scoring had a value of 8 indicative that I probably have a 24% chance of having prostate cancer. Visited Urologist on 05/16/07 and DRE was conducted and was normal. Should I wait 8 weeks and have another PSA test or go for Biopsy as suggested by the Urologist? Don’t want to be sliced & diced but also want peace of mind!

A: The above answer has the right conclusion, although all the facts are wrong.

While PCa at your age is rare, it’s hardly unknown. You have an significantly elevated risk due to the fact that your father had it.

PSA is not an indication of cancerous tissue, it’s produced by both normal and diseased prostate tissue. The absolute number turns out to be fairly meaningless, as “normal” could be anywhere from .5 to 8, mostly depending on the size of your prostate and general health. It’s best to have regular PSA tests, and to keep a chart of your results. A rapid increase in PSA is more concerning than a high absolute number.

Free PSA is the percent of PSA which isn’t attached to protein. If it’s very low, there is a higher chance that your PSA reading is caused by cancer.

A DRE can only detect cancer when it’s extensive enough to be palpable. In parts of Europe, adoption of PSA testing has been slower than in the US, and DRE is still a preferred detection technique. But DRE will miss cancer in it’s earliest, most treatable stage. In the US, the overwhelming majority of men are diagnosed with biopsy following abnormal PSA readings, and never reach the stage of having a positive DRE.

If I were in your place, I would take the biopsy. Although biopsy isn’t the most pleasant experience, it’s the only way to find peace of mind. If it’s negative, I would continue being vigilant, and have PSA tests every six months, charting the results. Given your family history, it pays not to take chances.

What you can expect from the biopsy is a few minutes of discomfort, followed by a month of bleeding. It’s not the worst thing that can happen to you.

Q: Cystoscopy:-Need some help?
I am 31 yrs male and I had blood in my urine 0-2 RBC. No WBC. I did following tests by an urologist:-
1. DRE
Result:-Your prostate looks good, smooth
2. PSA:-
Result:-0.61
3. CT IVP
Result:-Doctor told me your CT IVP came back normal

I was more scared for prostate cancer..bladder cancer. I went to another urologist and he tol me you have done all the test except Cystoscopy. So, he did Cystoscopy and said he did not see anything wrong. Before the test i told doc i was more worried about prostate cancer but forgot to tell i was worried about bladder cancer too. (During the Cystoscopy test at one point he told me you need to hold your breath and that will open a space for him to insert the tube more inside.). So, not sure if during Cystoscopy he looked into my bladder or not? Could you please let me know if seeing baldder in Cystoscopy test is common or i need to say doc to look into my bladder before the test?

A: Your doctor has gone to school for 12 years to learn how to diagnose people they know what tests to do. A cystoscopy is to look at the urinary system including the bladder. You’re only 31 with a PSA less than 1 with no symptoms of prostate cancer – why is this a concern?

Q: I have an enlarged prostate…….?
My doctor said that my prostate is large than normal. I had my blood tested for PSA ( prostate specific antigen) and showed a 6.5 ng/ml. The normal reading should be 4.0 ng/ml and below. I took antibiotic for 2 weeks to determine if the cause is bacteria or just inflammation. My blood was again tested and showed a reading of 5.5ng/ml. It goes down but still not normal. Again I took antibiotic for another 2 weeks and had my blood tested again and showed a reading of 5.75 ng/ml. I was tested for DRE ( digital rectal examination) and no lump was found. He then advised that to determine if the cause is just simple enlarged prostate and not cancerous, I will have to undergo biopsy.
I checked the internet and found that some patient with similar problem as mine had infections and had a hard time urinating. What can you say? Should I undergo biopsy? Please to those who had previous experience. By the way I’m 59 yrs old.

A: Nothing will work in ur case except operation

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