Re: Re: 3D transperineal mapping biopsy

[Guest guest]

(snip)

> I would suggest, based on the very small positive core result,

> having another lab review the biopsy assessment. Pick one of the

> most prominent.

Here's a list:

Bostwick Laboratories [800] 214-6628

Dianon Laboratories [800] 328-2666 (select 5 for client services)

Jon Epstein (s Hopkins) [410] 955-5043 or [410] 955-2162

Jon Oppenheimer (Tennessee) [800] 881-0470

Lucia (303)724-3470

Regards,

Steve J

[Guest guest]

Dennis Humphries wrote:

> I appreciate the feedback, but I guess I left a few things out

> in an effort to get to the point. So, I'll respond to various

> things you said.

>

> First, from Alan:

>

> <It is my understanding that inflammation of the prostate

> (prostatitis) can cause an elevated PSA.>

>

> That was the first thing my urologist ruled out. He had me on a

> course of Cipro, I forget for how long, and the PSA continued

> to rise. I also should add here that the rise in PSA was steady

> over the year and a half, rather than a sudden spike.

Far be it from me to argue with a urologist, but I have read that

the *majority* of cases of prostatitis do not respond to

antibiotics. Only a minority of cases are due to bacterial

infections that can be treated by antibiotics.

I know that in my own case, a 28 day course of antibiotics did

zero to cure my prostatitis. It certainly can't do a thing if

the inflammation is due to calcium deposits or to a viral

infection. Even many bacterial infections are probably not

easily susceptible to antibiotics because of limited blood flow

in the prostate and perhaps to the way bacteria can grow.

So personally, I don't believe that your course of antibiotics

ruled out prostatitis. I think Cipro can rule it in by bringing

the PSA down and alleviating symptoms. But it can't rule it out.

But then what do I know? I'm not a doctor.

I'd still want to see the actual printed biopsy report to see

what it said about the possible presence of inflammation.

As for the rest of your posting, it sounds to me like you've

really considered all the angles as far as any layman can.

Best of luck.

Alan