Q. Do you recommend surgery for my prostate cancer?

Answered by
Dr. Shahil Khant
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 27, 2016 and last reviewed on: Nov 26, 2020

Hi doctor,

I am on active surveillance for the last 2 years. My initial prostate biopsy was 2 years ago and showed 1 out of 10 needles cancerous, Gleason 6, slow growing and Prolaris test showing a medium growth rate. I had second biopsy 6 months ago. Before the second biopsy, my PSA was 5 and four months after the second biopsy, PSA was 16. My doctor recommended an MRI based upon the elevated PSA.

An MRI was done 2 weeks ago. Prostate volume 81 cc and two lesions were found. First lesion measuring 0.7 cm x 0.6 cm x 0.7 cm, Pi Rads 4, well contained mid gland and the second lesion 1.2 cm x 0.6 cm x 0.7 cm, ungraded, margins not sharply defined and a slight bowing of the capsule. I have had intermittent infections after the second biopsy and been on a three regimens of antibiotics. I have also experienced retrograde ejaculation after second biopsy. I am thinking that the second biopsy caused my elevated PSA (5 to 16), swelling of my prostate and perhaps I can remain on active surveillance with antibiotics since the MRI showed my cancer being well contained. I am wondering if I should have surgery as recommended by my urologist to remove my prostate.

#

Hi,

Welcome to icliniq.com.

I have gone through your details.

  • My main concern is the rise of PSA (prostate-specific antigen) from 5 to 16.
  • Though it might be due to infection, since three months you are taking treatment of infections. So, your PSA should have reduced if the rise was due to infection.
  • At present, you are in the best stage and shape to get rid of cancer by radical prostatectomy.
  • I suggest that you should undergo surgery and get rid of it. Also, you are only 62 years. Since life expectancy is more at some stage, you have to get rid of it before it progress more.
  • So, I suggest you better do it now than later or too late. Take care.

For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist


Was this answer helpful?

 | 


Related Questions:
I have multiple sclerosis. Can I get artificial valve for urinary incontinence?

.. is a progressive disease. So with time, incontinence may change in either direction, positively or negatively. The best option is what you have been doing. It is called CIC (clean intermittent catheterization). It is adaptable to all stages of di...   Read full

I need a second opinion regarding my father's scan reports.

.. do not worry. I have gone through the reports (attachment removed to protect patient identity) and I will explain you in detail. This is a gallium PSMA (prostate-specific membrane antigen) scan done for the whole body. The patient in the scan ha...   Read full

I am concerned about my PSA and free PSA values. Kindly guide me.

The prostate was swollen on the right side, but no bumps or nodes felt ... Free PSA (fPSA) and %fPSA (free-to-total prostate specific antigen ratio) are called as PSA derivatives ... For your age...   Read full

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read


COVID-19 Vaccines
A COVID-19 vaccine provides acquired immunity against the new Coronavirus. Read the article to know everything about the...  Read more»
The Perils of Social Media Addiction
Social media addiction affects both physical and mental health. Read this article to know more.  Read more»
COVID-19 - Second Wave
The second wave of COVID-19 is a red flag. Read more to know about the precautionary measures.  Read more»

Ask your health query to a doctor online?

Ask an Urologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.