Understanding Prostate Enlargement: When Surgery Becomes Necessary
Benign Prostatic Hyperplasia (BPH) Hello, doctor. My father has a prostate weight of 57g/PSA standard, and the doctor said he has reached the surgical threshold. The medication will become less effective over time, but my father's current condition does not affect his daily ...
Dr. Du Shixi Reply:
Hello: 1. Is surgery absolutely necessary in the current situation? --> No, it can be managed with medication and lifestyle modifications. 2. Can medication treatment be initiated first? --> Yes, there are many medications available for selection. 3. Under what circumstance...[Read More] Understanding Prostate Enlargement: When Surgery Becomes Necessary
Understanding High PSA Levels: Is Prostate Inflammation Common?
Prostatitis with PSA over 100? Hello Doctor, I would like to ask about my father-in-law who went to the emergency room last week due to feeling unwell. It was found that his white blood cell count was over 26,000. The doctor suspected prostatitis and his PSA level reached 104. He...
Dr. Li Minghui Reply:
Hello: If you have had a blood draw within the past year, it is normal, and the likelihood of cancer is low. If there is severe inflammation of the prostate, PSA levels can rise significantly. After the use of antibiotics, PSA levels will noticeably decrease within about 1-2 week...[Read More] Understanding High PSA Levels: Is Prostate Inflammation Common?
Understanding Prostate Inflammation: PSA Levels and Cancer Risks
Suspected prostatitis? Hello Doctor, I would like to ask about my father-in-law who went to the emergency room last week due to feeling unwell. It was found that his white blood cell count was over 26,000. The doctor suspected prostatitis, and his PSA level reached 104. He was th...
Dr. Du Shixi Reply:
Hello: If there has been a blood draw within the year, it is normal, and the likelihood of cancer is low. If the prostate is severely inflamed, the PSA levels can rise significantly. After the use of antibiotics, PSA levels will noticeably decrease in about 1-2 weeks, followed by...[Read More] Understanding Prostate Inflammation: PSA Levels and Cancer Risks
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
Link Between Candida Infection and Chronic Prostatitis: What You Need to Know
What is the relationship between Candida albicans and chronic prostatitis in terms of antibiotics? 1. At the beginning of September, three days after having sexual intercourse with my wife, I experienced pain at the urethral opening during urination, redness and itching of the gl...
Dr. Du Shixi Reply:
Hello: Your symptoms seem to indicate chronic prostatitis. However, chronic, non-bacterial prostatitis is inherently difficult to treat and diagnose. The use of antibiotics is almost always recommended. Please discuss this with your physician during your follow-up visit. Addition...[Read More] Link Between Candida Infection and Chronic Prostatitis: What You Need to Know
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
Understanding PSA and Free PSA Results: What to Expect Next
PSA/Free PSA, Free PSA/PSA values Hello Dr. Du, I recently received my company health check report, which indicated a PSA level of 4.430 (I am 50 years old, PSA <4). I was advised to undergo further examination. During the follow-up examination, the doctor performed an ultraso...
Dr. Du Shixi Reply:
Hello: There are many factors that can influence this. If the examination and ultrasound show no abnormalities, we will proceed with regular follow-up in three months. Most cases are benign. Wishing you good health.[Read More] Understanding PSA and Free PSA Results: What to Expect Next
Understanding Elevated PSA Levels: Causes and Recommendations for Retesting
Elevated PSA levels? Hello Doctor: Recently, during a company health check-up, my PSA level was found to be 14, but I have no symptoms of discomfort. I have researched various factors that can affect PSA levels and would like to confirm with you whether my activities could have h...
Dr. Li Minghui Reply:
Hello: If you are asymptomatic with urination, walk for 30 minutes daily, avoid activities that may compress the perineum such as cycling (motorcycle riding should be fine), refrain from sitting for prolonged periods without getting up to move, maintain a light diet, and drink pl...[Read More] Understanding Elevated PSA Levels: Causes and Recommendations for Retesting
Understanding Elevated PSA Levels: Causes and Next Steps
The PSA level is 14? Hello Doctor: Recently, during a company health check-up, my PSA level was found to be 14, but I have no symptoms of discomfort. I have researched various factors that can affect PSA levels, and I would like to confirm with you whether my activities in the tw...
Dr. Du Shixi Reply:
Hello: If you are asymptomatic with urination, walk for 30 minutes daily, avoid activities that may compress the perineum such as cycling (motorcycling should be fine), do not sit for prolonged periods without getting up to move, maintain a light diet, drink plenty of water (limi...[Read More] Understanding Elevated PSA Levels: Causes and Next Steps
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 Medication Side Effects for Enlarged Prostate Treatment
Could you please provide more details regarding the medication issues related to benign prostatic hyperplasia (BPH)? Hello Dr. Sun, thank you for taking the time to respond to my questions despite your busy schedule. I have a history of nasal allergies and hypertension, for which...
Dr. Sun Hongshun Reply:
Hello, concerned individual: Not all prostate medications cause nasal congestion! There are many different types of prostate medications, and you can ask your doctor to gradually adjust the medication to what suits you best (everyone experiences the effects of medication differen...[Read More] Understanding Medication Side Effects for Enlarged Prostate Treatment