February 02, 2006
His biopsy results came back negative for cancer. That's damn good news.
I mentioned in his comments that I once worked with a guy who pulled PSA scores higher than 10 every time he took the test and underwent THREE biopsy procedures, all of which were negative, before he quit chasing that ghost. (He also was so bored-out after three biopsies that he sounded like a bassoon when he farted.) As far as I know, he's still pulling high PSA scores today with no evidence of cancer.
He went to several different urologists and none could explain what caused the high PSA scores. It's a disturbing fact, but sometimes "I don't know why" is the best answer a doctor can give you. Too many things other can cancer can screw up that test.
Of course, one negative biopsy isn't a guarantee that you're cancer-free, either, although it is one hell of a lot better than a positive result. The doc can hit only PART of the prostate with his needle-gun, so if the cancer is on the backside of the prostate (in the FRONT, considering where he inserts the gun) or in a place he didn't hit, the biopsy won't catch it. That's why the doc wants to do another biopsy.
Dr. Acidman recommends keeping a close eye on the PSA for a while. Get it checked about every three months and watch for any increase in the score. Only if the score stayed high and kept increasing would I submit to the indignity of a second biopsy.
But that's just MY humble opinion. I could be wrong.
Yeah, neither of the docs I'm working with now (Primary and Urologist) have a clue as to what's causing it...which is, I guess, why they want to do another biopsy. I'm leaning towards just getting it done, if two of them come back negative, I'll rest pretty easy about it not being cancer. Of course, that still leaves it up in the air as to just what the hell IS going on.
I wouldn't worry about it if it wasn't fucking with me, but man, it's tough to take a piss, and it's even screwing up my sex life - getting a nut shouldn't hurt like this either.
I'm doing some digging on WebMD, and one of your commenters recommended a book I should get - I'll probably pick that up this weekend. Thanks again for all your support, Rob - if I get a clue as to what's going on, I'll run it by you to see what you think.
Sometimes an enlarged postrate will cause a high psa reading. I know. Way huge postrate in yours truly. Had the ream job. Called a TURP-the ream job , that is. Sex as a pass time is now gone. Big deal. I now look at sex and wonder why all the fuss. Living is better even without sex. Pardon the pun, but screw sex. Shove the whole process up your ass, if you'll pardon the pun again. Life can be very pleasant without the wham-bam. Red painted toe-nails are just another color. Yawn
Same thing with cholesterol. I have a friend, a full-blood Cherokee native who has "bad" numbers in the 400's. His doctor went bananas, until he did a little research and found that most Cherokee have such elevated numbers, and their mortality from heart disease is no worse than the population.
The docs don't know it all, or can expain it all.
Sending good thoughts your way, too. My hub has had prostate cancer and surgery, too-now two years out. Be strong.
Rob...You forgot to mention that having sex in the four days before the biopsy can also give a high psa value (heh..your friend is horny)
Well shit, that explains EVERYTHING!
You're in my thoughts and prayers, Donnie. May all your positives continue to be false and may all your false positives cease immediately so you can get some peace.