Guest guest Posted October 4, 2010 Report Share Posted October 4, 2010 DREs should still be performed post surgery. A doctor could feel a growth if it is in the immediate prostate bed. In most cases the PSA will have already responded, but there are situations where the tumor does not make, or barely makes any PSA. -- You're not giving us your full story, so I'm going to _guess_ that you've had a prostatectomy. The prostate produces most of the fluid that makes up seminal fluid. When the prostate is removed, most men have no ejaculate (or very little ejaculate). If your ejaculate is " thin and clear " , I'd say that you have more ejaculate than most of us (post-prostatectomy). When a urologist says " cancer-free " , he usually means that your PSA is so low it's unmeasurable -- less than 0.01. There's really no other test that I know of. And " unmeasurable PSA " doesn't _really_ mean " cancer-free " -- it means that, if any cancer remains, it's so tiny that it doesn't produce enough PSA to be measured. DRE's after a prostatectomy? Two considerations: .. . . You've had surgery, and may have some scarring that would make a DRE difficult -- " Is that a tumor, or a post-surgical scar? " .. . . If you _did_ have any tumors growing, they'd be picked up by a PSA test before the doctor could feel them. I don't have a medical degree; you might want to talk with your urologist about this stuff. > > Hi,,,,I wonder if I can get any replys to this post? First I think of my self as cancer free, by what my urologist tells me although I dont really think he is doing that great of a job. Anyways my ejaculate has been thin and clear since my prostate biopsy over a year ago. My Dr said he didnt know what would cause this, he said it may be the proscar I am taking. I have not had a dre for over a year, I just assumed either my urologist or family dr would do one with out asking. Good luck to all thank you dan > -- T Nowak, MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Men Fighting Cancer, TogetherSurvivor - Recurrent Prostate, Thyroid, Melanoma and Renal Cancers www.advancedprostatecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare.com - information and support about prostate cancer http://health.groups.yahoo.com/group/advancedprostatecancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer Quote Link to comment Share on other sites More sharing options...
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