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Newbie waiting for urologist appointment

User
Posted 19 May 2017 16:55:36(UTC)
Hi, I am a new member 63yo and awaiting appointment with Urologist, have a PSA 6.9 up from about 2.5 a couple of years ago, symptoms are frequent trips to loo especially at night,slight problem maintaining erection (possibly age related) prostate is large, had DRE 2 years ago but nothing unusual according to GP. Just had CT scan which shows large prostate.GP has referred me to Urologist did not do DRE.
My flow is not as good as a couple of years ago and takes a while to have a pee but no pain, just frequent. Had full bloods done and nothing out of ordinary for my age other than PSA.
I eat well stay reasonably fit, don't drink very often just a beer every couple of months or so. Moderate coffee consumption.
Just interested if anyone has any comments or advice.
Iam not too stressed at this stage, may be nothing too serious, I hope. But what will be, will be.
Thanks guys in anticipation.
User
Posted 19 May 2017 18:37:56(UTC)

Hi Stevo

i was / am in a similar situation

read my profile and you will see i had psa 5.2 which rose over 8 mths to 8.0

had biopsies which have all come back negative, urologist says my high psa is due to BPH enlarged prostate

now waiting 6 mths for retest of PSA to see if any changes either up or down

It is a very worrying and stress ful time, like being on a roller coaster , but you cannot get off

good luck 

 

Dave

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User
Posted 19 May 2017 17:59:17(UTC)

Hello Stevo and welcome to the site.

Let's hope the large prostate is a sign of BPH (Benign Prostatic Hyperplasia) which is a nuisance but not Prostate cancer.

At least the ball is rolling for you and you know that whatever the outcome, you are on the way to treatment.

Fingers crossed for you

I expect some of the men will be along to advise you so hang in there

Best Wishes

Sandra

******

We can't control the winds - but we can adjust our sails
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User
Posted 20 May 2017 07:49:55(UTC)

Thanks Sandra and you too Dave, I suppose I just have to wait until I get the appointment, trouble is the hospital here is busy busy, could take a while GP asked for urgent appointment, I hope they oblige.
Forgot to mention sometimes I feel as though someone has punched me in the back, but maybe that is just posture.
Thanks again for the comments.
Stevo.

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User
Posted 19 May 2017 17:59:17(UTC)

Hello Stevo and welcome to the site.

Let's hope the large prostate is a sign of BPH (Benign Prostatic Hyperplasia) which is a nuisance but not Prostate cancer.

At least the ball is rolling for you and you know that whatever the outcome, you are on the way to treatment.

Fingers crossed for you

I expect some of the men will be along to advise you so hang in there

Best Wishes

Sandra

******

We can't control the winds - but we can adjust our sails
Thanked 1 time
User
Posted 19 May 2017 18:37:56(UTC)

Hi Stevo

i was / am in a similar situation

read my profile and you will see i had psa 5.2 which rose over 8 mths to 8.0

had biopsies which have all come back negative, urologist says my high psa is due to BPH enlarged prostate

now waiting 6 mths for retest of PSA to see if any changes either up or down

It is a very worrying and stress ful time, like being on a roller coaster , but you cannot get off

good luck 

 

Dave

Thanked 2 times
User
Posted 20 May 2017 07:49:55(UTC)

Thanks Sandra and you too Dave, I suppose I just have to wait until I get the appointment, trouble is the hospital here is busy busy, could take a while GP asked for urgent appointment, I hope they oblige.
Forgot to mention sometimes I feel as though someone has punched me in the back, but maybe that is just posture.
Thanks again for the comments.
Stevo.

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User
Posted 20 May 2017 09:22:17(UTC)

My advice is to take someone with you to the urologist appointment. It might be overwhelming and you may not take in or remember everything that is discussed. My husband was put on Bicalutamide to shrink the tumour (2000). Things probably have changed and consultants have different ways of dealing with the situation.
Talk will then turn to treatment.
Maz.

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User
Posted 20 May 2017 12:50:10(UTC)

Stevo, your symptoms suggest more info is required to make a diagnosis. I’ve had a few visits to hospital of late, all good service. My GP had requested urgent referral which from uro reply I was seen within 2 weeks.

Good luck

Ray

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User
Posted 20 May 2017 16:13:25(UTC)

Hi

for our age group Stevo

NICE recommend a fast track appointment with Uro within 2 weeks for any PSA result over 4.0

 

which is what happened with me

and you should have the same

Take it as it comes, nothing you can change, yours sounds very much like mine

good luck , keep us informed of progress

Dave

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User
Posted 20 May 2017 21:33:48(UTC)

The 2 week target for fast track referrals is usually measured to initial appointment, and normally the scan would come after that. It may be in this case that referral to scan was within timescale and the delay now might simply be because the radiologist and urologist need to interpret the scan results and determine next steps?

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard


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User
Posted 21 May 2017 06:16:27(UTC)
Hi all, thanks for the support and advice.
Should have mentioned before that I am English but live in Australia, this is in my opinion the best forum I have come across.
Regarding appointments things are a bit different here in Western Australia, WA stands for wait awhile, Lol.
Stevo.
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User
Posted 21 May 2017 09:32:39(UTC)

Hi Stevo, you would probably also like YANAnow (you are not alone now) a forum created by one of our old and much loved members who lived in Australia. It has thousands of members from all over the world and you can search by diagnosis type, treatment group, etc.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard


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User
Posted 21 May 2017 13:33:51(UTC)

Hi Stevo,

I found once I was in the system I was well looked after from all the professionals so lets hope you get the same sort of care.

Good luck John.

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User
Posted 25 May 2017 11:17:02(UTC)
Hi all,
As mentioned my GP requested a priority appointment at the Hospital to see Urologist, well came today for 02/08 was hoping to get one earlier so called them but no chance.
They push regular PSA testing and then when you get abnormal findings you can't get to see the Uro, bit dissapointed.
Oh well, back to GP he may be able to sweet talk the receptionist, I hope.
All the best
Stevo.
User
Posted 04 July 2017 14:08:52(UTC)
Hi everyone,
Got a cancellation appointment for tomorrow 5/7 with urologist, so kind of a bit stressed tonight, update you tomorrow night. What will be will be.
Stevo.
User
Posted 04 July 2017 17:02:45(UTC)

Best wishes for tomorrow ,what ever the results are at least a treatment plan can be put into place .
Debby

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User
Posted 05 July 2017 11:56:05(UTC)
Saw uro today, DRE, prostate feels very large and smooth but firm, he did not say hard just firm. Done another psa, and urine test just procedure to rule out infection, which he doesn't think there is.
Wants a template biopsy but can wait until I have returned from Thailand so that will be done around mid August hopefully.
Feel a bit more relaxed now the wheels are turning.
Stevo.
User
Posted 21 March 2018 19:15:00(UTC)

Hi all, been a while since last post but here goes.
Had biopsy transperineal in october no cancer detected. Had cystoscopy about 4 weeks ago, uro or whoever he was said prostate is humungous in other words big. No treatment offered apart from prazosin to relax muscles to help me pee. Gp done psa it is 13 and just done another today get result on friday, have done ultrasound and not emptying bladder hence continual uti's just finished 20 days of Bactrim but still generally feel the same, lethargy, down in sorts, pee stinks, get up 5-8 times a night to pee, getting me down now.
Have read biopsy has 34% false negative, not worried about what is, really I am but just want answers.
Sorry folks but I realise there are many people in same position but you know how it is.
I just want my life back.
I live alone apart from my cat and I swear he is sick of it also.
Forgot to mention been to ED twice now with unbearable groin hip and back pain, told go home and see GP, he is good but obviously doesn't know everything, he put me an anti-inflamatory which was no use either.
Will let you know what latest PSA is.

User
Posted 21 March 2018 20:16:08(UTC)

Acknowledging that it may be a bit different in WA, I would still want a referral back to urology. You may be suitable for a TURP to ease urine flow through the humongous prostate and the added advantage would be that the prostate material could be examined in detail for signs of prostate cancer. That is quite a big PSA rise even for a very large prostate but if the urine is smelly, it seems you may also have one of those very persistent UTIs that don't respond to normal antibiotics.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard


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User
Posted 22 March 2018 02:56:54(UTC)

Thanks for responding, I have to go back to uro in May but never see the same one. I have booked a longer appointment with GP for tomorrow hopefully may be able to push him to put pressure on urology a bit.
This is getting to me a bit now, last night was continually back and forwards to the toilet. I will suggest TURP tomorrow I will also ask about repeat biopsy, with prostate so large it is a possibility they missed the needle in the haystack.
Thanks for the support.
Steve.

User
Posted 22 March 2018 10:48:21(UTC)

Have you had an MRI scan?

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User
Posted 22 March 2018 11:18:21(UTC)

Have not had an MRI scan just psa tests, biopsy, cystoscopy and ultrasound. Difficult to get MRI scan via a GP has to be a referral by a specialist or ED or private and I cannot afford that. Thanks.

User
Posted 22 March 2018 11:43:47(UTC)
Ask your Urologist for an MRI.

Surprised you haven’t had one already.

Good luck!
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User
Posted 22 March 2018 11:49:07(UTC)

Yes I will, thanks.

User
Posted 23 March 2018 08:08:11(UTC)

Well! Just got back from GP, PSA down to 11 urinalysis not back yet, prescribed Amoxycillin 500mg 3x day. I think maybe time to find new GP, running late by 1hour again everything was a rush didn't get time to talk much, Sorry just letting off a bit of steam, have appointment for next Thursday. Will have to start looking for new GP monday.
Steve.

User
Posted 13 April 2018 16:50:04(UTC)
Hi, back on Bactrim and off amoxycillin, getting confusing. GP is writing to the urology dept and suggesting that maybe I need a Turp due to constant UTI's and as suggested by Lyn the tissue removed would be tested.
Steve.
User
Posted 13 April 2018 23:59:38(UTC)

Seems like a sensible way forward, should ease the urinary problems and getting some tissue into a lab for testing will be reassuring for you. Did they not do an MRI as part of your template biopsy?

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard


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User
Posted 14 April 2018 14:05:27(UTC)

Did not do an mri the transperineal biopsy was ultra sound guided (definitely transperineal ). To get an mri here it is difficult, I did have CT but was not much good apart from showing the size of prostate which sparked off the whole saga, then psa and uro and multiple psa tests, biopsy, bladder capacity ultrasound and then cystoscopy etc but no mri as yet.
Originally the CT was to confirm diverticular disease which it did.
Have another 10 days and off to gp for another urinalysis, psa and another script. Middle of May I see uro again.
Retension is getting bad again, not much sleep last night but eased again now, thought I was off to hospital for a midnight visit.
I have a funny feeling that prostate has grown as getting more problems urinating now than a month ago, psa was down to 11 last test from 13, I am pretty sure it was the same Lab.
Thanks
Steve.

User
Posted 14 April 2018 14:20:13(UTC)
Forgot mention I had a colonoscopy but that was after the psa13 test.They removed some polyps but were tested and found to be ok.
 
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