Specific prostatic antigen... surgery?
My dad has a mild high level of SPA (6ng/ml) he is 65 years out-of-date, he went with the urologist who recommended a biopsy (abnormal findings at rectal exam), then another urologist recommended a severe prostatectomy, he has no symptoms, but he had a brother who died of prostatic cancer... The family is divided, my dad is worried, some clues?
Answers:
I'm a bit concerned going on for the second urologist. PSA levels can be elevated without there mortal any cancer. A radical prostatectomy is BIG surgery, and can have some permanent after effects that he may not want. Doing a innovatory procedure without biospy proven cancer is irresponsible.
Start with the biopsies. He may very ably end up with a prostatectomy, but it makes sense to know exactly what you're dealing next to first.
capably, I would go with the first surgeon unless he has already done the biopsy and it come back positive. The PSA even coupled with DRE is a poor screening test. I would want a positive biopsy since doing a prostatectomy.
Ultimately the decision is your dad's and his alone. It doesn't matter what you want, or the rest of your family want. If he chooses a severe prostatectomy and the rest of the family says he should get a biopsy first afterwards that does not matter, you should all be supportive of his decision.
I would opt for a biopsy. This can be done surrounded by a urologists office or out-patient facility with light sedation. Ten to fifteen sample are taken and sent to the pathologist. If no cancer is detected, repeat the PSA in 6 months.
Before undergoing any type of prostatectomy, wouldn't you first look for spread to bone or lymph nodes? Why do radical surgery when the tumor is already spread?
My analysis is that spread of prostate ca outside the prostate is very uncommon if the PSA is below 10. Some say below 20,
Finally, why a strong prostatectomy if the ca is confined? I would think robotic surgery would be best procedure. Otherwise implantation of radio-pharmaceuticals.
This is a complex subject. A patient urologist needs to steal time to explain the options your dad has. I don't know what induced the second urologist to recommend a radical prostatectomy, but from the info you give us, it's a radical recommendation. Source(s): Personal experience.
Disclaimer: I don't own stock in da Vinci robotic surgery.
I am with Troy. It is your dads decision you need to support him. There is nil worse than everybody putting in there 2 cents unless someone in the house is a urologist or a specialist in this area. I would go beside the biopsy first just to see what exactly is going on. It does not take long and the results are almost immediate, later you would know for sure what your up against. The risk of surgery alone, must be considered his age infection anesthesia etc. Really anesthesia at any age is a risk. My dad died of bone cancer that spread everywhere in a matter of weeks. The worst part in the region of all of it was everybody telling everybody else what should be done. Respect your dad and please pray on it the answer will come I promise. Good Luck and God Bless your familial is in my thoughts and prayers
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Answers:
I'm a bit concerned going on for the second urologist. PSA levels can be elevated without there mortal any cancer. A radical prostatectomy is BIG surgery, and can have some permanent after effects that he may not want. Doing a innovatory procedure without biospy proven cancer is irresponsible.
Start with the biopsies. He may very ably end up with a prostatectomy, but it makes sense to know exactly what you're dealing next to first.
capably, I would go with the first surgeon unless he has already done the biopsy and it come back positive. The PSA even coupled with DRE is a poor screening test. I would want a positive biopsy since doing a prostatectomy.
Ultimately the decision is your dad's and his alone. It doesn't matter what you want, or the rest of your family want. If he chooses a severe prostatectomy and the rest of the family says he should get a biopsy first afterwards that does not matter, you should all be supportive of his decision.
I would opt for a biopsy. This can be done surrounded by a urologists office or out-patient facility with light sedation. Ten to fifteen sample are taken and sent to the pathologist. If no cancer is detected, repeat the PSA in 6 months.
Before undergoing any type of prostatectomy, wouldn't you first look for spread to bone or lymph nodes? Why do radical surgery when the tumor is already spread?
My analysis is that spread of prostate ca outside the prostate is very uncommon if the PSA is below 10. Some say below 20,
Finally, why a strong prostatectomy if the ca is confined? I would think robotic surgery would be best procedure. Otherwise implantation of radio-pharmaceuticals.
This is a complex subject. A patient urologist needs to steal time to explain the options your dad has. I don't know what induced the second urologist to recommend a radical prostatectomy, but from the info you give us, it's a radical recommendation. Source(s): Personal experience.
Disclaimer: I don't own stock in da Vinci robotic surgery.
I am with Troy. It is your dads decision you need to support him. There is nil worse than everybody putting in there 2 cents unless someone in the house is a urologist or a specialist in this area. I would go beside the biopsy first just to see what exactly is going on. It does not take long and the results are almost immediate, later you would know for sure what your up against. The risk of surgery alone, must be considered his age infection anesthesia etc. Really anesthesia at any age is a risk. My dad died of bone cancer that spread everywhere in a matter of weeks. The worst part in the region of all of it was everybody telling everybody else what should be done. Respect your dad and please pray on it the answer will come I promise. Good Luck and God Bless your familial is in my thoughts and prayers
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