Prostate

Pippah45 replied on 20/01/2017 13:30

Posted on 20/01/2017 13:30

Since it is in the news today - I thought I would encourage the chaps to make sure they DO get checked out properly.  My brother had his annual medical a few months ago and he noticed there was no PSA test included in the results.  On questioning he was told "we didn't think it necessary" but he said he wanted one.  The results came back slightly elevated and he asked again what they were going to do - same response - only marginal nothing to worry about - being the man he is he wasn't satisfied and insisted on a biopsy.  It was cancer - hopefully caught early enough he has now had the operation.  But how many of you are happy with the "not necessary" or "at your age" etc etc.  I think we all need to stand up for ourselves - I am so glad that brother is on the ball so to speak - my other brother would not have followed up I suspect. 

Grumblewagon replied on 22/01/2017 16:01

Posted on 22/01/2017 16:01

That's the response that I got from several GP's and practice managers both when I lived in Hampshire and here in Aberdeenshire.

An accurate, non intrusive test would be good.

Pippah45 replied on 22/01/2017 16:13

Posted on 22/01/2017 16:13

Clearly there are conflicting thoughts here - I agree non-invasive would be good although you chaps might keep in mind that the smear tests we go through are pretty unpleasant not to mention mammography!  I am personally certain that prevention is a better and safer option than hoping for a cure too far down the track. 

"If in doubt - check it out" might be a good watchword. 

Navigateur replied on 22/01/2017 16:31

Posted on 22/01/2017 16:31

The biopsy proceedure involves sticking a fairly large device up your bum and waggling it into position.  It then fires a cluster of needles through the wall of your intestine, the intervening tissue and into the prostate, snapping back with a collection of tissue samples for analysis.

Clinical problem is that a tumour can be between needle positions and missed giving a false negative. Also, needles can rupture blood vessels and sperm duct as there is no way to target them, and there are all these holes in a far from sterile area to heal - or not as the case may be.

I think I prefer the young female doctor test myself.

Pippah45 replied on 22/01/2017 17:45

Posted on 22/01/2017 17:45

All I can say is to repeat that my brother would still be harbouring cancer if he hadn't insisted on the PSA and the Biopsy - and I am prietty sure he didn't have any symptoms prior to his annual check up and 66 isn't a great age. 

ABM replied on 22/01/2017 18:12

Posted on 22/01/2017 16:31 by Navigateur

The biopsy proceedure involves sticking a fairly large device up your bum and waggling it into position.  It then fires a cluster of needles through the wall of your intestine, the intervening tissue and into the prostate, snapping back with a collection of tissue samples for analysis.

Clinical problem is that a tumour can be between needle positions and missed giving a false negative. Also, needles can rupture blood vessels and sperm duct as there is no way to target them, and there are all these holes in a far from sterile area to heal - or not as the case may be.

I think I prefer the young female doctor test myself.

Posted on 22/01/2017 18:12

I Think  I  prefer  the  young  female  doctor  test  myself 

 

Navigateur, 

Back  a  little  earlier  this  century  when  some  kind

medics  were  doing  regular  Flexi-Sigs, colonoscopies

or  similar  on  yours  truly,  I,  in  my  ignorance,  thought 

when  they  used  the   term  "Digital  Tests",  they  were 

just  going  to  use  a  different  type  of  camera   undecidedsurprisedembarassed

 

 

IanH replied on 22/01/2017 19:27

Posted on 22/01/2017 19:27

I have to say Brian that, as the pain of the kydney stone was lapsing by then (and if you've ever had one, you'll know that the pain is considerable) the intervention by the young lady doctor was considered to be a not-unpleasant interlude. wink

IanH replied on 22/01/2017 19:27

Posted on 22/01/2017 19:27

I have to say Brian that, as the pain of the kydney stone was lapsing by then (and if you've ever had one, you'll know that the pain is considerable) the intervention by the young lady doctor was considered to be a not-unpleasant interlude. wink

Wherenext replied on 22/01/2017 19:42

Posted on 22/01/2017 19:27 by IanH

I have to say Brian that, as the pain of the kydney stone was lapsing by then (and if you've ever had one, you'll know that the pain is considerable) the intervention by the young lady doctor was considered to be a not-unpleasant interlude. wink

Posted on 22/01/2017 19:42

Far too much information.surprised

Nuggy replied on 23/01/2017 16:37

Posted on 23/01/2017 16:37

A friend of mine had a very painful kidney stone. He was having to get up during the night to use the loo, so in the evenings he reduced his fluid intake, had his supper drink earlier to try and prevent having disturbed nights. The Dr said that because he was drinking less, his urine was stronger, and that probably caused the stone. The Dr's opinion was it was better to get up in the night, rather than getting a stone. As for the PSA test, it can be missleading.

Pippah45 replied on 24/01/2017 14:01

Posted on 24/01/2017 14:01

The PSA test can also be a life saver.  As for limiting fluid intake it is almost always a mistake to cut down. 

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