I have some great news that may also be very helpful to others on this great site! Per ThePCRI's advice I stopped my vigorous freestyle swimming kick (2 1/2 hours per session twice a week) for one week and then had my PSA retested. My PSA dropped by 4.7 ng/ml! It appears that bicycling is not the only exercise that puts pressure on the prostate and causes the PSA to rise.
My PSA went from 6.2 to 6.3 in four weeks. We went for the core test. They did 14 cores. Six of the 14 showed cancer. Cancer Stage: cT1c Gleason Score: 3+4 = 7 Estimated Prostate Size: 66-70 cc. I chose to have it removed at age 58. If you listen carefully to the video you will realize that not all doctors will agree on a course of action. I now get my PSA blood test every 3 months to verify "Value
The test helped me. I have historically high psi, around 4-6 consistently. I took the PHI Test and got a 13.2 result. 0-26 is low risk at 9%, so my result indicated BHP which i know i have had for quite some time. I will just repeat this test in 2 years according to my doctor and just .ive with that.
@@Midnitexowboy my urologist told me the cutoff of 27 is used because under 27 you have a 10% chance of prostate cancer but all prostate cancers found below 27 are Gleason 3+3 which are irrelevant. So PHI below 27 means your clear and have no reason for an MRI either. Like the Dr here says, if you are over 27 in the gray area thats when the Gleason 7 start showing up.
Great video for those of us seeking direction. I will speak to my Urologist about these tests. Special thanks to John Shearron from PCRI for his great communication in talking me off the ledge.
@@gmv0553 I had the MRI first, which showed a lesion. Scared me pretty bad. As I understand it, 14 samples were later taken during the biopsy, including 2 from the lesion. Although several types of diseases were found in the prostate, none of the samples were cancerous.
As far as the random prostate biopsy being very unpleasant, I opted to have it under a general anesthesia. Insurance paid for it. Little to no discomfort immediately after or in later days. Really a trivial procedure from my perspective when under anesthesia. Zero worries or anxiety that way. It was done transperineal, NOT transrectal. That nearly eliminated any chance of infection. IMO, if a urologist is still doing transrectal prostate biopsies, you need to find a different urologist that has moved out of the dark ages.
I hesitantly agreed yesterday with my urologist to go through a biopsy and opted for the general anesthesia route so thanks for your comment. It helps to be reassured that I chose the best way for me to approach this.
Have elevated psa Einstein Doctor wanted 2 jump right 2 random biopsy i said hell no demanded t3mpmri came back pirad 2 getting another mri in October not getting no biopsy unless something is seen
Same exact boat here. EXO DO urine test put me at 27 percent risk out of 100. Like the doc here said, neither no risk or flaming. I am insisting that the PSA be retested and the MRI (which showed NO lesions) be re-read by a different radiologist. I mean, at what point do you say, okay I'm tired of being pushed to a biopsy when the MRI is clear? I'm for getting the MRI done again in a year, maybe 6 months. PS: The PSA was 6.7, and the doctor and radiologist determined I was recovering from prostatitis. My prostate is 46. Prostate density .15. My grandfather on my dad's side had prostate cancer, and my dad's brother but not my dad. My dad DID have a huge prostate.
In 2022 my PSA was 4.7 and my biopsy had three, 3-3 samples . 2023 my biopsy had two 3-3's and two 3-4's. Has anyone heard of someone's score go back down after a 3-4 to 3-3.
Well????? Jeeze, A lot of GREAT Information here. I no a guy that had a Hi PSA Score and was (JUST LIK Dr. Scholz Said here) was sent in for the 12 Core Pluck Out, he said it was NOT FUN! So, I'd rather not have that Done, But I do get checked every Year, have the DIGITAL EXAM, Last PSA was 2.1 Up from 1.9, and my Urologist is Totally Not Concerned at all. Me..... I'am the Worry Wart Guy, since this Stuff is one of the Silent KILLERS, I worry. And I'am in San Jose California where I am Real Close to Stanford, UCSF and such, Los Angeles is a Bit Farther Off (500 MILES or So). Where is there a Mark Scholtz In San Jose Ca, Los Gatos Ca, Saratoga Ca, San Mateo Ca, San Francisco Ca???? Anyone here have a CLUE???? Thanks in Advance.
A bit disconcerting that you neglected to inform viewers about things that can cause erroneously high PSA test results. Mem must be informed that.... ...sexual activity in the past two or three days WILL elevate their PSA results significantly. .....a recent digital rectal exam will likewise significantly increase PSA results. .....receptive anal sex will significantly increase PSA results .....rescent bicycle riding and strenuous exercise can increase PSA results. .....there seems to be a huge ignorance about exactly how the prostate gland functions. It not only produces fluid, but just prior to ejaculation, it hardens and contracts to squeeze out fluid into the urethra so it can be expelled during orgasm. ....Any disturbance of the prostate from its normal resting state will result in traces of PSA seeping into the bloodstream. Proper education can prevent erroneously high PSA results that lead to unnecessary further tests and worry. Please emphasize the importance of abstaining from sexual activity, DRE, strenuous exercise, bike riding etc for a few days BEFORE PSA testing. Thank you PCRI for being such a great source of reliable information. Every baby boy should be delivered with a PROSTATE OWNERS OPERATORS MANUAL.
I have some great news that may also be very helpful to others on this great site! Per ThePCRI's advice I stopped my vigorous freestyle swimming kick (2 1/2 hours per session twice a week) for one week and then had my PSA retested. My PSA dropped by 4.7 ng/ml! It appears that bicycling is not the only exercise that puts pressure on the prostate and causes the PSA to rise.
My PSA went from 6.2 to 6.3 in four weeks. We went for the core test. They did 14 cores. Six of the 14 showed cancer. Cancer Stage: cT1c Gleason Score: 3+4 = 7 Estimated Prostate Size: 66-70 cc. I chose to have it removed at age 58. If you listen carefully to the video you will realize that not all doctors will agree on a course of action. I now get my PSA blood test every 3 months to verify "Value
Thank you, thank you, thank you. Your kindness and empathy is very helpful.
Was so calming talking to the helpline. Another great video and a great resource for anyone trying to understand their diagnosis.
The test helped me. I have historically high psi, around 4-6 consistently. I took the PHI Test and got a 13.2 result. 0-26 is low risk at 9%, so my result indicated BHP which i know i have had for quite some time. I will just repeat this test in 2 years according to my doctor and just .ive with that.
If I were I I'd get mri
@@Midnitexowboy my urologist told me the cutoff of 27 is used because under 27 you have a 10% chance of prostate cancer but all prostate cancers found below 27 are Gleason 3+3 which are irrelevant. So PHI below 27 means your clear and have no reason for an MRI either. Like the Dr here says, if you are over 27 in the gray area thats when the Gleason 7 start showing up.
Great video for those of us seeking direction. I will speak to my Urologist about these tests. Special thanks to John Shearron from PCRI for his great communication in talking me off the ledge.
A MRI biopsy found aggressive cancer in the top of my prostate which was not found in a regular biopsy.
Men, get the tests. Although I have a diseased prostate and intermittent high PSA, biopsy shows no çancer.
Chances are it will show up sooner or later. The same thing has happened to a few friends of mine.
A MRI found mine!
@@gmv0553 I had the MRI first, which showed a lesion. Scared me pretty bad. As I understand it, 14 samples were later taken during the biopsy, including 2 from the lesion. Although several types of diseases were found in the prostate, none of the samples were cancerous.
Another informative session...so level headed and comprehensive..
VERY NICELY DONE! GREAT VIDEO HIGHLY EDUCATIONAL! YOU BOTH MAKE THIS VERY EASY TO UNDERSTAND 🙏 THANK YOU 🙏
the up to date info appreciated
As far as the random prostate biopsy being very unpleasant, I opted to have it under a general anesthesia. Insurance paid for it. Little to no discomfort immediately after or in later days. Really a trivial procedure from my perspective when under anesthesia. Zero worries or anxiety that way.
It was done transperineal, NOT transrectal. That nearly eliminated any chance of infection.
IMO, if a urologist is still doing transrectal prostate biopsies, you need to find a different urologist that has moved out of the dark ages.
@@Deadwest-h3u NHS?
I hesitantly agreed yesterday with my urologist to go through a biopsy and opted for the general anesthesia route so thanks for your comment. It helps to be reassured that I chose the best way for me to approach this.
Good choice. Let us know your experience so the next guy that reads this thread can be reassured also.
@@MrCanuckDon Smart decision. I had a biopsy without general anesthesia and in a word...it hurt like heck! I'll never do that again!
Have elevated psa Einstein Doctor wanted 2 jump right 2 random biopsy i said hell no demanded t3mpmri came back pirad 2 getting another mri in October not getting no biopsy unless something is seen
Same exact boat here. EXO DO urine test put me at 27 percent risk out of 100. Like the doc here said, neither no risk or flaming. I am insisting that the PSA be retested and the MRI (which showed NO lesions) be re-read by a different radiologist. I mean, at what point do you say, okay I'm tired of being pushed to a biopsy when the MRI is clear? I'm for getting the MRI done again in a year, maybe 6 months. PS: The PSA was 6.7, and the doctor and radiologist determined I was recovering from prostatitis. My prostate is 46. Prostate density .15. My grandfather on my dad's side had prostate cancer, and my dad's brother but not my dad. My dad DID have a huge prostate.
In 2022 my PSA was 4.7 and my biopsy had three, 3-3 samples . 2023 my biopsy had two 3-3's and two 3-4's. Has anyone heard of someone's score go back down after a 3-4 to 3-3.
Sir my PSA was 7.02. Dr. prescribed me Tamsol-D. After 3 weeks, Total PSA dropped to 5.05 and free PSA is 0.803. Should I go for biopsy?
When you talk about an MRI are you talking about an MRI guided biopsy?
Well????? Jeeze, A lot of GREAT Information here. I no a guy that had a Hi PSA Score and was (JUST LIK Dr. Scholz Said here) was sent in for the 12 Core Pluck Out, he said it was NOT FUN! So, I'd rather not have that Done, But I do get checked every Year, have the DIGITAL EXAM, Last PSA was 2.1 Up from 1.9, and my Urologist is Totally Not Concerned at all. Me..... I'am the Worry Wart Guy, since this Stuff is one of the Silent KILLERS, I worry. And I'am in San Jose California where I am Real Close to Stanford, UCSF and such, Los Angeles is a Bit Farther Off (500 MILES or So). Where is there a Mark Scholtz In San Jose Ca, Los Gatos Ca, Saratoga Ca, San Mateo Ca, San Francisco Ca???? Anyone here have a CLUE???? Thanks in Advance.
A bit disconcerting that you neglected to inform viewers about things that can cause erroneously high PSA test results.
Mem must be informed that....
...sexual activity in the past two or three days WILL elevate their PSA results significantly.
.....a recent digital rectal exam will likewise significantly increase PSA results.
.....receptive anal sex will significantly increase PSA results
.....rescent bicycle riding and strenuous exercise can increase PSA results.
.....there seems to be a huge ignorance about exactly how the prostate gland functions. It not only produces fluid, but just prior to ejaculation, it hardens and contracts to squeeze out fluid into the urethra so it can be expelled during orgasm.
....Any disturbance of the prostate from its normal resting state will result in traces of PSA seeping into the bloodstream.
Proper education can prevent erroneously high PSA results that lead to unnecessary further tests and worry.
Please emphasize the importance of abstaining from sexual activity, DRE, strenuous exercise, bike riding etc for a few days BEFORE PSA testing.
Thank you PCRI for being such a great source of reliable information.
Every baby boy should be delivered with a
PROSTATE OWNERS
OPERATORS MANUAL.