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PSA 8.8 - worried

User
Posted 13 Feb 2025 at 19:10

Hi everyone,

Please can I ask for your opinion on my situation …

I’m 56 yrs old. About a month ago I realised that I was starting to need to pee more urgently (especially after drinking with breakfast)…I would need to pee every ten minutes or so for a couple of hours. I initially wasn’t worried because it flowed ok and a decent amount was being produced - I put it down to the amount of coffee I was drinking, This developed and I realised one day that I could feel a stinging as I peed.
I made an appointment and a DRE was carried out. The nurse said my prostrate was 4cm and ‘nice and smooth’.

she booked me in for PSA 14 days after the DRE.

my urinary habits have not gone back to normal - the stinging and inability to completely void seems to be inconsistent.

The PSA results came back today as 8.8….and the nurse has referred me to the hospital as an urgent ‘suspicion of urological cancer’ form.

she rang me later on (I’d already read the information) and she did reassure me that the prostrate was smooth.

As you can probably guess, I am mortified by this development.

I have done some cursory internet searches but have tied myself in knots so thought it better to ask those directly within the system and with the real life experience.

thanks in advance for any help you can offer.

Phil

 

User
Posted 14 Feb 2025 at 00:43
Hi Phil,

I wonder whether you have had a urine test because stinging pain and peeing irregularity can be because of a UTI (treated with anibiotics where found). UTI can also cause raised PSA as can other non PCa problems.

The smooth DRE doesn't confirm you haven't got PCa, particularly as only part of the Prostate can be felt this way.

You say you have been told your Prostate is 4cm but this is usually only assessed through having an MRI and you make no mention of having had such a scan which is what I would of though would be the next step. It is only after a biopsy, usually preceded by an MRI that cancer can be confirmed. It's a matter of being patient and undergoing the varios tests.

Barry
User
Posted 14 Feb 2025 at 09:51

Hi Phil.

I'm sorry to see that you may have prostate problems but welcome to the forum, mate.

I can understand your anxiety, most of us have felt the same. The initial investigations, waiting for procedures and results, is the most worrying time. Your PSA is elevated but it could be caused by other non cancerous conditions.

As Barry said, it's likely that they will get you an MRI scan, which give more detail on your condition.

All I can advise is just take one step at a time. 

Best of luck, mate. Please keep us updated. They'll always be someone here to help.

User
Posted 14 Feb 2025 at 14:49

Originally Posted by: Online Community Member

Hi Phil 

Sorry to hear about your symptoms, I know how worrying it is to see the word "Urgent" and "Cancer" on your doctors referral but it means your GP surgery are efficient and caring.

Most important of all..... Don't Panic, it changes nothing. Make sure you talk to family and friends to offload your concerns and above all try to avoid the temptation of getting info through Doctor Google.

If your PSA is raised you will probably be sent pretty quickly for an mri scan which takes about 20 minutes and is a doddle. They may inject some dye into your blood via a canula in your hand but that's it. They gave me headphones and a selection of playlists to choose from to cover up the banging and clanging of the scanner.

My next stage was then a biopsy, this is when it gets interesting. I went in for a transperenial biopsy under local anaesthetic. An ultrasound probe goes in your backside and the biopsy samples (15-25) are taken via a needle that goes in just below your nadgers. 8 out of 10 men find this easy enough however I apparently have a very narrow back passage and found the probe too painful. They immediately stopped and reassured me that I was the same as many other men and that I could come back in two weeks for the same procedure under general anaesthetic.

Yesterday (13 feb) was the big day. It all went swimmingly well, a little bit of discomfort afterwards as expected but I have to stress there was no pain, not once.

I now have to wait for the results.

Please Phil, try not to worry about the process, the doctors and nurses are kind and caring and have your best interests at the forefront. 

The only thing you MUST be prepared to contend with is that on arrival at the hospital on biopsy day, you leave your dignity in the waiting room.

I hope it goes well for you and that reading about my experience helps to reassure you.

Keep on rocking

Muzza

Broomfield Hospital. Chelmsford, Essex 

hi Muzza

Thanks for your reassuring words and update. 
I was really surprised about how painful the DRE was so I can’t imagine the pain of having anything bigger than a finger being pushed up - the mind boggles!

I hope that you get the best results possible from the biopsy.

thanks again

Phil

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User
Posted 14 Feb 2025 at 00:43
Hi Phil,

I wonder whether you have had a urine test because stinging pain and peeing irregularity can be because of a UTI (treated with anibiotics where found). UTI can also cause raised PSA as can other non PCa problems.

The smooth DRE doesn't confirm you haven't got PCa, particularly as only part of the Prostate can be felt this way.

You say you have been told your Prostate is 4cm but this is usually only assessed through having an MRI and you make no mention of having had such a scan which is what I would of though would be the next step. It is only after a biopsy, usually preceded by an MRI that cancer can be confirmed. It's a matter of being patient and undergoing the varios tests.

Barry
User
Posted 14 Feb 2025 at 04:48

Thanks Barry,

Yes, I had urine tests and it was said that I had no infection or blood. 
Hopefully I will get an appointment soon and can start to find out.

Thanks for your input 

Phil 

User
Posted 14 Feb 2025 at 09:42

Hi Phil 

Sorry to hear about your symptoms, I know how worrying it is to see the word "Urgent" and "Cancer" on your doctors referral but it means your GP surgery are efficient and caring.

Most important of all..... Don't Panic, it changes nothing. Make sure you talk to family and friends to offload your concerns and above all try to avoid the temptation of getting info through Doctor Google.

If your PSA is raised you will probably be sent pretty quickly for an mri scan which takes about 20 minutes and is a doddle. They may inject some dye into your blood via a canula in your hand but that's it. They gave me headphones and a selection of playlists to choose from to cover up the banging and clanging of the scanner.

My next stage was then a biopsy, this is when it gets interesting. I went in for a transperenial biopsy under local anaesthetic. An ultrasound probe goes in your backside and the biopsy samples (15-25) are taken via a needle that goes in just below your nadgers. 8 out of 10 men find this easy enough however I apparently have a very narrow back passage and found the probe too painful. They immediately stopped and reassured me that I was the same as many other men and that I could come back in two weeks for the same procedure under general anaesthetic.

Yesterday (13 feb) was the big day. It all went swimmingly well, a little bit of discomfort afterwards as expected but I have to stress there was no pain, not once.

I now have to wait for the results.

Please Phil, try not to worry about the process, the doctors and nurses are kind and caring and have your best interests at the forefront. 

The only thing you MUST be prepared to contend with is that on arrival at the hospital on biopsy day, you leave your dignity in the waiting room.

I hope it goes well for you and that reading about my experience helps to reassure you.

Keep on rocking

Muzza

Broomfield Hospital. Chelmsford, Essex 

User
Posted 14 Feb 2025 at 09:51

Hi Phil.

I'm sorry to see that you may have prostate problems but welcome to the forum, mate.

I can understand your anxiety, most of us have felt the same. The initial investigations, waiting for procedures and results, is the most worrying time. Your PSA is elevated but it could be caused by other non cancerous conditions.

As Barry said, it's likely that they will get you an MRI scan, which give more detail on your condition.

All I can advise is just take one step at a time. 

Best of luck, mate. Please keep us updated. They'll always be someone here to help.

User
Posted 14 Feb 2025 at 14:49

Originally Posted by: Online Community Member

Hi Phil 

Sorry to hear about your symptoms, I know how worrying it is to see the word "Urgent" and "Cancer" on your doctors referral but it means your GP surgery are efficient and caring.

Most important of all..... Don't Panic, it changes nothing. Make sure you talk to family and friends to offload your concerns and above all try to avoid the temptation of getting info through Doctor Google.

If your PSA is raised you will probably be sent pretty quickly for an mri scan which takes about 20 minutes and is a doddle. They may inject some dye into your blood via a canula in your hand but that's it. They gave me headphones and a selection of playlists to choose from to cover up the banging and clanging of the scanner.

My next stage was then a biopsy, this is when it gets interesting. I went in for a transperenial biopsy under local anaesthetic. An ultrasound probe goes in your backside and the biopsy samples (15-25) are taken via a needle that goes in just below your nadgers. 8 out of 10 men find this easy enough however I apparently have a very narrow back passage and found the probe too painful. They immediately stopped and reassured me that I was the same as many other men and that I could come back in two weeks for the same procedure under general anaesthetic.

Yesterday (13 feb) was the big day. It all went swimmingly well, a little bit of discomfort afterwards as expected but I have to stress there was no pain, not once.

I now have to wait for the results.

Please Phil, try not to worry about the process, the doctors and nurses are kind and caring and have your best interests at the forefront. 

The only thing you MUST be prepared to contend with is that on arrival at the hospital on biopsy day, you leave your dignity in the waiting room.

I hope it goes well for you and that reading about my experience helps to reassure you.

Keep on rocking

Muzza

Broomfield Hospital. Chelmsford, Essex 

hi Muzza

Thanks for your reassuring words and update. 
I was really surprised about how painful the DRE was so I can’t imagine the pain of having anything bigger than a finger being pushed up - the mind boggles!

I hope that you get the best results possible from the biopsy.

thanks again

Phil

User
Posted 14 Feb 2025 at 14:52

Thank you Adrian. 
I’ve been advised of a telephone appointment on Monday morning so will know more then. 

Thanks again

Phil

 
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