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User
Posted 29 Nov 2018 at 15:15

Well the oncologist wants another blood test  & PET scan in 3 months time to assess what treatment next, PSA has risen since last year from .3 to 2.8 

the PSA jumped from one test of 1.6 to 2.8 in 3 months consecutive . The PET scan I understand is to see if the cancer is somewhere other than in the  

pelvic area, HT is on the horizon but chemo is not ruled out if necessary . To recap , November 2015 RP , March 2017 RT , 2019 more treatment if PSA goes up in the similar amount. Furthermore  my urine flow is getting very slow at the moment too,  is this any cause for concern ?

james

User
Posted 29 Nov 2018 at 16:37
James, I had the same PSA nadir six years or so ago following prostate removal and my PSA alas continued to rise, necessitating further treatment. With no prostate to restrict the urine flow, I guess attention has to switch to the urethra, where I have a met still (subject to my next scan showing otherwise. I hope!), the ureters or, worst case, the kidneys. In all three circumstances, the PCa is treatable. I would be pressing for an earlier scan if the flow problem is not simply anxiety based but reflects the three possibilities I mentioned.

Good Luck

AC

User
Posted 29 Nov 2018 at 19:49

Trebor

The slow flow can be a problem if it gets really slow. Do you know your flow rate ? One of our members on here has had a flow rate of 5mls/ sec for a few years and copes quite well with it. Have a look at my profile and you will see I have had lots of issues with a urethral stricture and a slow flow. Going into retention is not a pleasant experience. To get your flow rate, just time how long it takes urinate into a measuring bottle jug etc and divide the volume by the time i.e. 200 ml in 25 secs is an average of 8mls/sec. Might be worth asking for a flow test and scan to make sure your bladder is emptying properly. 

Thanks Chris

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User
Posted 29 Nov 2018 at 16:37
James, I had the same PSA nadir six years or so ago following prostate removal and my PSA alas continued to rise, necessitating further treatment. With no prostate to restrict the urine flow, I guess attention has to switch to the urethra, where I have a met still (subject to my next scan showing otherwise. I hope!), the ureters or, worst case, the kidneys. In all three circumstances, the PCa is treatable. I would be pressing for an earlier scan if the flow problem is not simply anxiety based but reflects the three possibilities I mentioned.

Good Luck

AC

User
Posted 29 Nov 2018 at 19:49

Trebor

The slow flow can be a problem if it gets really slow. Do you know your flow rate ? One of our members on here has had a flow rate of 5mls/ sec for a few years and copes quite well with it. Have a look at my profile and you will see I have had lots of issues with a urethral stricture and a slow flow. Going into retention is not a pleasant experience. To get your flow rate, just time how long it takes urinate into a measuring bottle jug etc and divide the volume by the time i.e. 200 ml in 25 secs is an average of 8mls/sec. Might be worth asking for a flow test and scan to make sure your bladder is emptying properly. 

Thanks Chris

 
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