Wide variation in PSA results

June 27, 2008

I have had 4 PSA tests in the last seven months. The results are all over the

map. The

urologist has no idea as to the cause.

Month PSA Free PSA % Free PSA

Dec '07 8.11 0.83 10.0

Jan '08 2.75 0.8 30.0

May '08 12.82 not measured

June '08 4.8 0.8 17.0

The urologist now tells me a free PSA of.8 always means cancer. I may have

misunderstood him over the phone since the Free number has always been 0.8 and

he

didn't raise any alarms.

He wants to schedule a biopsy based on the last PSA. I think that its probably a

good idea,

but I wonder why he's suddenly more urgent.

Also, we don't know what true PSA is.

I have Parkinson;s Disease and heart problems and have very strong gas rumbling

through

me most of the time. I think the gas is pressing on the prostate and stimulating

it, but the

urologist doesn't think so.

The first test was done at one lab, the next two at another and the last one at

yet a third

lab.

Two years go I had a PSA of 2.75.

Any ideas are welcomed

I have another question, this urologist was recomended by five prostate cancer

survivors

as being very good, but I don't have a feeling of good rapport. Should I look

for a doctor I

feel more comfortable with. There is also a problem in that he does his

biopsies in

another community and travel will be very difficult due to Parkinson's.

Thanks for any ideas

jazu

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