Understanding Prostate Cancer Surgery: Questions on Initial and Follow-Up Procedures
I would like to inquire with the physician about surgical options for stage 0 or stage I prostate cancer? Last year, my uncle was diagnosed with prostate cancer... but it seems to be stage 0 or stage 1. The doctor said that regular monitoring would be sufficient, and if cancer ce...
Dr. Du Shixi Reply:
Hello: There are many treatment options available, and the approach should be based on the patient's confirmed pathology report, as well as the patient's overall health status and age, in addition to discussions with the patient. Generally, for this condition, it is adv...[Read More] Understanding Prostate Cancer Surgery: Questions on Initial and Follow-Up Procedures
Understanding Elevated BUN and Creatinine Levels in Elderly Patients
Why are BUN and creatinine levels elevated? Hello doctor, I would like to ask you about my grandfather. He is 78 years old and has a history of prostate cancer for which he received hormone therapy. He has a narrowing of the left ureter and a renal cyst on the right side. He curr...
Dr. Du Shixi Reply:
Hello: Another way to say that kidney function is high is that it is already impaired. There are many reasons for this, such as chronic diseases like diabetes and hypertension. Additionally, issues with urination can lead to a decline in function. Wishing you good health.[Read More] Understanding Elevated BUN and Creatinine Levels in Elderly Patients
Understanding Urgency and Incontinence: Prostatitis or Overactive Bladder?
The issues of urinary urgency, inability to hold urine, and incontinence could be related to prostatitis or overactive bladder? Hello, I have been experiencing issues with urgency, incontinence, and difficulty holding urine for about 5 to 6 years. I checked my urine volume with a...
Dr. Xu Wencang Reply:
It is recommended to visit a nephrology outpatient clinic for evaluation regarding medication or daily health care. Please discuss this with your attending physician. Thank you.[Read More] Understanding Urgency and Incontinence: Prostatitis or Overactive Bladder?
Managing Post-Prostate Cancer Surgery: Nighttime Urination and Treatment Options
Post-prostate cancer surgery Hello Director Lee, my father underwent a Da Vinci surgery for stage 2 prostate cancer last August and is currently living normally. However, he still experiences nocturia, and the frequency is higher than before the surgery! He also has issues with u...
Dr. Li Minghui Reply:
Hello: If you feel that urinary incontinence and nocturia do not require medication, you can choose not to take it. However, if you believe it affects your quality of life, it is advisable to consult a physician. There are various medications available that can help improve the c...[Read More] Managing Post-Prostate Cancer Surgery: Nighttime Urination and Treatment Options
Managing Post-Surgery Urinary Issues After Da Vinci Prostate Cancer Treatment
Da Vinci Surgery (Stage II Prostate Cancer) Hello, doctor. My father underwent a Da Vinci surgery for stage 2 prostate cancer last August and is currently living normally. However, he still experiences nocturia, and the frequency is higher than before the surgery. He also has som...
Dr. Du Shixi Reply:
Hello: If you feel that urinary incontinence and nocturia do not require medication, you can choose not to take any. However, if you believe they are affecting your quality of life, it is advisable to consult a physician. There are various medications available that can help impr...[Read More] Managing Post-Surgery Urinary Issues After Da Vinci Prostate Cancer Treatment
Options for Salvage Treatment After Failed Proton Therapy for Prostate Cancer
For prostate cancer stage 2b, if proton therapy has failed, what alternative treatments are available? 1. I am 63 years old, diagnosed with prostate cancer T2b, grade group 2 (the measurable tumor is 1.3 cm, but there are scattered cells with approximately 80% on the left side an...
Dr. Lin Wenxu Reply:
Dear Mr. Yu, 1. The benefit of radical prostatectomy (surgery) is that all the tissue is removed, allowing for a more definitive pathological report (staging), but the risks are higher. 2. High-intensity focused ultrasound (HIFU) has a lower risk, but preoperative prostate curet...[Read More] Options for Salvage Treatment After Failed Proton Therapy for Prostate Cancer
Understanding Elevated PSA Levels: Causes and Concerns
Elevated PSA levels? My prostate-specific antigen (PSA) levels have been steadily increasing over the years, and last week it reached 30. I have undergone four biopsies at Asia University Hospital, all of which were normal. However, the continuous rise in this index is concerning...
Dr. Li Minghui Reply:
Hello: A rise to 30 can be primarily attributed to inflammation or cancer. If you are open to it, I recommend seeking a second opinion at a medical center, as some physicians are more specialized in this area. Wishing you good health.[Read More] Understanding Elevated PSA Levels: Causes and Concerns
Understanding Rising Prostate Index: Concerns and Solutions
My prostate index? My prostate-specific antigen (PSA) levels have been steadily increasing over the years, and last week it reached 30. I have undergone four biopsy procedures at Asia University Hospital, all of which were normal. However, the continuous rise in this index is con...
Dr. Du Shixi Reply:
Hello: A rise to 30 can be primarily attributed to inflammation or cancer. If you are open to it, I recommend seeking a second opinion at a medical center, as some physicians may have more expertise in this area. Wishing you good health.[Read More] Understanding Rising Prostate Index: Concerns and Solutions
Understanding Elevated PSA Levels: Impact of Illness and Medications
Elevated PSA levels? Last year, my PSA level was 2.88. A week before my check-up this year, I had a severe cold and visited the hospital three times. My main symptoms were a runny nose, fever, and cough. After the third visit to the doctor, about four days later, I went for my ro...
Dr. Cai Zhuorong Reply:
PSA is primarily used for the diagnosis of prostate cancer, and common causes of elevated levels include benign prostatic hyperplasia, acute infection, or chronic inflammation. If acute infection is ruled out, a biopsy may be considered to exclude prostate cancer. The likelihood ...[Read More] Understanding Elevated PSA Levels: Impact of Illness and Medications
Rapid PSA Level Increase: What It Could Mean for Prostate Health
A rapid increase in PSA levels? Hello, my PSA level was 2.5 in August and increased to 14 in November, a rise of 11.5 in just three months. If we do not consider factors such as inflammation, would such a rapid increase be typical for prostate cancer? Thank you very much for your...
Dr. Du Shixi Reply:
Hello: Generally, it is not common, but close monitoring is necessary. Pay attention to your lifestyle habits. Wishing you good health.[Read More] Rapid PSA Level Increase: What It Could Mean for Prostate Health
Understanding Elevated PSA and PHI: Next Steps for Prostate Health
Elevated PSA levels, PHI > 36? Hello, doctor. I have been under follow-up for over a year. My PSA levels were 4.2 a year ago, then 4.1 after 3 months, 3.6 after another 3 months, and recently 4.6 after 6 months. Additionally, my self-paid PHI is 40.5, which is greater than 36....
Dr. Li Xinyi Reply:
If there is a family history of prostate cancer, such as a father with a related history, it is advisable to consider a biopsy more proactively. Otherwise, if the PSA level is slightly elevated but the MRI does not show any potential lesions, close monitoring may still be an opti...[Read More] Understanding Elevated PSA and PHI: Next Steps for Prostate Health
Understanding Appetite Changes in Advanced Prostate Cancer Patients
Prostate cancer patients suddenly experiencing poor appetite and nausea? My father has always had a normal appetite and cannot go without eating. Four years ago, his appetite suddenly decreased. Although he felt very hungry, he became extremely sensitive to the taste of food, to ...
Dr. Jian Weihong Reply:
Hello: 1. In terms of PSA, there should be no deterioration, but recurrence cannot be ruled out. Stage IV prostate cancer can be well controlled, but it is not considered cured, so there is no issue of recurrence. 2. It is advisable to consult the original oncologist who is most ...[Read More] Understanding Appetite Changes in Advanced Prostate Cancer Patients
Understanding Appetite Changes in Advanced Prostate Cancer Patients
Stage IV prostate cancer My father has always had a normal appetite and cannot go without eating. Four years ago, his appetite suddenly decreased. Although he felt very hungry, he became extremely sensitive to the taste of food, to the point of feeling nauseous and unable to eat,...
Dr. Du Shixi Reply:
Hello: 1. In terms of PSA, there should be no deterioration, but recurrence cannot be ruled out. Stage IV prostate cancer can be well managed, but it is not considered cured, hence there is no issue of recurrence. 2. It would be advisable to consult the original oncologist who is...[Read More] Understanding Appetite Changes in Advanced Prostate Cancer Patients
Understanding Prostate Issues: Symptoms, Treatment, and Monitoring
Prostate issues Hello Doctor, I had a health check-up at the end of July and found some issues with my prostate, so I would like to ask for your advice. The report shows: > Prostate-Specific Antigen (PSA) 1.40 > Mild Prostatic Hyperplasia (Size: 2.7*4.37*3.74cm => 23.079...
Dr. Jian Weihong Reply:
Hello: 1. It is recommended to take the medication for a period of time, make lifestyle adjustments, and then try to discontinue it; otherwise, the condition may return quickly. 2. Relaxation is important and should not be minimized. 3. It is difficult to predict. 4. Blood tests ...[Read More] Understanding Prostate Issues: Symptoms, Treatment, and Monitoring
Understanding Elevated PSA Levels: Prostate Cancer or Benign Enlargement?
Elevated PSA levels? Prostate cancer is a slowly progressing cancer. In April of this year, my first PSA test showed a level of 5.08. By early August, the second test had risen to 6.88 (with free PSA at 23%). By the end of August, the third test showed a level of 7.88 (with free ...
Dr. Jian Weihong Reply:
Hello: During my visit to the medical center, I heard the physician's advice that certain factors can affect PSA levels, but it is important to be cautious.[Read More] Understanding Elevated PSA Levels: Prostate Cancer or Benign Enlargement?
Understanding Prostate Health: Managing Symptoms and Treatment Options
Experiencing a sensation of incomplete bladder emptying during urination? Hello Doctor, I had a health check-up at the end of July and found some issues with my prostate. The report shows: > Prostate-Specific Antigen (PSA) 1.40 > Mild Prostatic Hyperplasia (Size: 2.7*4.37*3...
Dr. Du Shixi Reply:
Hello: 1. It is recommended to take the medication for a period of time, make lifestyle adjustments, and then try to discontinue it; otherwise, the condition may return quickly. 2. Relaxation is important and should not be minimized. 3. It is difficult to predict. 4. Blood tests ...[Read More] Understanding Prostate Health: Managing Symptoms and Treatment Options
Understanding PSA Levels: Benign Prostate Hyperplasia vs. Prostate Cancer
Benign prostatic hyperplasia can lead to prostate cancer? Prostate cancer is a slowly progressing cancer. In April of this year, my first PSA test result was 5.08. By early August, the second test showed an increase to 6.88 (with free PSA at 23%). By the end of August, the third ...
Dr. Du Shixi Reply:
Hello: During my visit to the medical center, I heard the physician's advice that certain factors can affect PSA levels, but it is important to approach this with caution.[Read More] Understanding PSA Levels: Benign Prostate Hyperplasia vs. Prostate Cancer
Understanding Causes of Blood in Urine: A Comprehensive Guide
What are the causes of hematuria? The elderly family member has mild hematuria of unknown origin. Urinalysis and blood tests are normal, except for a 4+ result for amorphous phosphates. Ultrasound of the urethra and kidneys is normal, and there are no findings of urinary stones. ...
Dr. Jian Weihong Reply:
Hello: Food and incomplete urination can both be potential causes. It is certainly necessary to conduct several tests, as sometimes it may just be a temporary phenomenon. Wishing you good health.[Read More] Understanding Causes of Blood in Urine: A Comprehensive Guide
Unexplained Mild Hematuria in Elderly: Possible Causes and Considerations
Mild hematuria of unknown origin? The elderly family member is experiencing mild hematuria of unknown origin. Urinalysis and blood tests are normal, except for a 4+ level of amorphous phosphates. Ultrasounds of the urethra and kidneys are normal, and there are no findings of urol...
Dr. Du Shixi Reply:
Hello: Food and incomplete urination could both be possible causes. It is certainly necessary to conduct several tests, as sometimes it may just be a temporary phenomenon. Wishing you good health.[Read More] Unexplained Mild Hematuria in Elderly: Possible Causes and Considerations
High PSA Levels at 26: Should I Worry About Prostate Cancer?
Elevated PSA levels? Hello, I am 26 years old and I would like to inquire about my recent PSA test results. My PSA level was 7.1 and my free PSA was 25%. Since I had sexual intercourse a few days before the test, my doctor recommended abstaining for a week before retesting. The s...
Dr. Du Shixi Reply:
Hello: I personally recommend that if you are seeing a specialist at a medical center, continue to follow their advice. If you are not at a medical center, please seek care from one. Generally, younger individuals may have higher values, which increases the likelihood of inflamma...[Read More] High PSA Levels at 26: Should I Worry About Prostate Cancer?