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Welcome, doc! What is this ?

 
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Replicant
Moderator


Joined: 01 Nov 2006
Posts: 219
PostPosted: Wed Feb 27, 2008 3:00 pm    Post subject: Welcome, doc! Reply with quote
Goruck, it's great to have a urologist in the discussion forum.
_________________
Replicant

Dx Feb 2006, PSA 9 @age 43
RRP Apr 2006 - Gleason 3+4, T3a, N0M0, pos margins
PSA 5/06 <0.1, 8/06 0.2, 12/06 0.6, 1/07 0.7.
Salvage radiation (IMRT) total dose 70.2 Gy, Jan-Mar 2007@ age 44
PSA 6/07 0.1, 9/07 <0.1, 12/07 <0.1, 4/08 <0.1
http://pcabefore50.blogspot.com
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goruck
Experienced user


Joined: 22 May 2006
Posts: 51
Location: sarasota florida
PostPosted: Thu Feb 28, 2008 6:33 pm    Post subject: thanks Reply with quote
my pleasure to be involved.
i learn much from my patients and you guys also.

gbr
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George Rucker
Urology/Urologist
http://prostateconcerns.blogspot.com/
www.urology-partners.com
http://www.cornellurology.com/past-res.html
http://www.lakewoodranchmedicalcenter.com/index.php?&PageID=1088
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bucky
New User


Joined: 28 Feb 2008
Posts: 3
PostPosted: Fri Feb 29, 2008 9:44 am    Post subject: Re: Welcome, doc! Reply with quote
doc- I have a question for you as well as for the others in the forum. I am turning 51 this year and have had annual PSA checks since age 49 purely for screening. There is no family history of prostate cancer . My dad did have BPH and had a TURP when he was in his 50s. My first PSA 2 years ago was 0.9. My second last year was 0.68 This week I had mine done and it came back 2.78 There is an extenuating circumstance as I did ejaculate 10 hours before the test. I am feeling very concerned about this and have an appointment with a urologist in a couple of days. What am I facing- worst case scenario and most likely case scenario.
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goruck
Experienced user


Joined: 22 May 2006
Posts: 51
Location: sarasota florida
PostPosted: Fri Feb 29, 2008 3:52 pm    Post subject: clear first step to me Reply with quote
in your case is to repeat psa with a free psa also.
countless times i have seen lab error as the cause for elevated psa.
after a repeat test, we can consider the next step.

your urologist will likely perform a digital rectal exam, but idealy, you have a repeat psa before he performs your exam, though there is little proof that dre causes mechanically induced false elevation of psa.
_________________
George Rucker
Urology/Urologist
http://prostateconcerns.blogspot.com/
www.urology-partners.com
http://www.cornellurology.com/past-res.html
http://www.lakewoodranchmedicalcenter.com/index.php?&PageID=1088
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