Combining Radium-223 with Second-Line Hormonal Therapy: Key Considerations
The issue of combining Radium-223 with second-line hormonal therapies? Hello, I have stage IV prostate cancer with bone metastasis and have developed bone pain. My PSA level has exceeded 100, and I am currently awaiting Radium-223 treatment. I would like to inquire about the use ...
Dr. Jian Weihong Reply:
Hello: Based on my understanding, Radium-223 (such as Xofigo) is to be used under specific conditions and cannot be combined with enzalutamide. It is indicated for the treatment of castration-resistant prostate cancer (CRPC) patients who have symptomatic bone metastases and no vi...[Read More] Combining Radium-223 with Second-Line Hormonal Therapy: Key Considerations
Managing Bone Metastasis in Stage IV Prostate Cancer: Treatment Insights
Stage IV prostate cancer with bone metastasis? Hello, I have stage IV prostate cancer with bone metastasis and have developed bone pain. My PSA level has exceeded 100, and I am currently waiting for radium-223 treatment. I would like to inquire about the use of enzalutamide to su...
Dr. Du Shixi Reply:
Hello: Based on my understanding, Radium-223 (such as Xofigo) is restricted for use in the treatment of castration-resistant prostate cancer (CRPC) patients with symptomatic bone metastases and no organ metastases. Patients must meet the following three criteria: 1. The patient m...[Read More] Managing Bone Metastasis in Stage IV Prostate Cancer: Treatment Insights
Understanding Prostatitis: PSA Tests and Their Limitations
Prostatitis I have recently experienced a cooling sensation in my penis and scrotum, and I previously had issues with urination. Therefore, I visited a large hospital to see a urologist and expressed my desire to check for any problems or inflammation in my prostate. The doctor s...
Dr. Du Shixi Reply:
Hello: The penis and scrotum feel cold, and there were previous issues with difficulty urinating, which are not typical symptoms of chronic inflammation. Wishing you good health.[Read More] Understanding Prostatitis: PSA Tests and Their Limitations
Understanding High PSA Levels: Risks and Next Steps for Prostate Health
Elevated PSA levels? Hello, Doctor. My father visited a urologist in October due to urinary issues. The doctor diagnosed him with benign prostatic hyperplasia (BPH). However, his PSA level was later tested at 4.8, which is greater than 4. The doctor advised him to take Harnalidge...
Dr. Du Shixi Reply:
Hello: In some cases, levels may decrease, and if urination improves, some individuals may see improvement. A biopsy is merely a sampling procedure, and there is a possibility of complications occurring. Additionally, it is still possible that cancerous tissue may not be sampled,...[Read More] Understanding High PSA Levels: Risks and Next Steps for Prostate Health
Understanding Prostate Hardness: What Does It Mean for Your Health?
There is a hard mass in the prostate? Hello Dr. Lee, my father is 68 years old and in late September, during a health check-up at National Taiwan University Hospital, a hard mass was found in his prostate, and his PSA level was 4.3 (he has symptoms of benign prostatic hyperplasia...
Dr. Li Xinyi Reply:
I understand your concerns, and your thoughts are valid. It is indeed possible to schedule an earlier follow-up appointment to discuss with the doctor.[Read More] Understanding Prostate Hardness: What Does It Mean for Your Health?
Understanding Prostate Issues: What Does a Normal Biopsy Mean?
Prostate issues Hello Doctor, my father is 68 years old. In early October, during a health check-up, a hard mass was found in his prostate, and his PSA level was 4.3 (with symptoms of benign prostatic hyperplasia). At the end of October, the doctor arranged for a biopsy. Today, d...
Dr. Du Shixi Reply:
Hello: A PSA level greater than 4 indicates approximately a 1 in 5 to 1 in 7 chance of cancer. The presence of a lump detected during a physician's digital examination can be subjective, which is why sometimes a physician may feel it, and other times it may not be present; t...[Read More] Understanding Prostate Issues: What Does a Normal Biopsy Mean?
Understanding Recurrent Urethritis: Symptoms, Causes, and Treatment Options
Recurrent urethritis Hello Doctor, I have a normal daily routine and drink water adequately. I only have sexual intercourse with my wife, which is not frequent (about once a week). Around August 15, I experienced acute urethritis for the first time in my life. I visited a nearby ...
Dr. Li Xinyi Reply:
It sounds like prostatitis, and the bacteria cultured may be from the feces. May I ask if there has been any anal intercourse? These bacteria could potentially have strong antibiotic resistance, and a stronger medication may be required, with treatment lasting 4 to 6 weeks. It is...[Read More] Understanding Recurrent Urethritis: Symptoms, Causes, and Treatment Options
Understanding PSA Levels: Insights on Prostate Health and Lifestyle Factors
Hello Dr. Lee, I received a report after today's follow-up appointment? The PSA level is 2.96. The doctor mentioned that while this is not considered normal for my age, it is within the normal range since it is below 4, indicating that there is not much concern. I am wonderi...
Dr. Li Xinyi Reply:
Bicycling and masturbation can indeed affect PSA levels. Based on your description, it seems you have had good communication with your primary physician and have reached a consensus on monitoring your PSA levels, which is great. I don't need to add anything further. Addition...[Read More] Understanding PSA Levels: Insights on Prostate Health and Lifestyle Factors
Understanding Prostate Cancer: Managing Urinary Issues and Hormone Therapy Options
Prostate cancer Hello Doctor, my father had a PSA level of 32.5 and a prostate volume of 45 in September. He underwent a laser enucleation procedure, and the biopsy results confirmed prostate cancer. The doctor arranged for a bone scan and MRI, which showed no bone metastasis or ...
Dr. Li Minghui Reply:
Hello: 1) Postoperative urinary incontinence generally improves gradually over several months. If the amount of leakage decreases, it will continue to improve. Medication can also help, but the extent of recovery may vary. 2) Hormonal therapy is a common treatment option that sup...[Read More] Understanding Prostate Cancer: Managing Urinary Issues and Hormone Therapy Options
Understanding Prostate Cancer: Managing Incontinence and Hormone Therapy Options
Prostate cancer Hello Doctor, my father had a PSA level of 32.5 and a prostate volume of 45, and underwent a laser enucleation procedure in September. The biopsy results confirmed prostate cancer, and the doctor arranged for a bone scan and MRI, which showed no bone metastasis or...
Dr. Li Minghui Reply:
Hello: 1) Postoperative urinary incontinence generally improves gradually over a few months. If the amount of leakage decreases, it will continue to improve. Medication can also help, but the extent of recovery varies. 2) Hormonal therapy is a common treatment option that suppres...[Read More] Understanding Prostate Cancer: Managing Incontinence and Hormone Therapy Options
Managing Prostate Cancer: Addressing Urinary Incontinence and Treatment Options
Prostate cancer Hello Doctor, my father had a PSA level of 32.5 and a prostate volume of 45 in September, and he underwent a laser enucleation procedure. The biopsy results confirmed prostate cancer, and the doctor arranged for a bone scan and MRI, which showed no bone metastasis...
Dr. Li Minghui Reply:
Hello: 1) Postoperative urinary incontinence generally improves gradually over several months. If the amount of leakage decreases, it will continue to improve. Medication can also help, but the extent of recovery may vary. 2) Hormonal therapy is a common treatment option that sup...[Read More] Managing Prostate Cancer: Addressing Urinary Incontinence and Treatment Options
Understanding Prostate Cancer: Managing Urinary Incontinence and Treatment Options
Prostate cancer Hello Doctor, my father had a PSA level of 32.5 and a prostate volume of 45 in September. He underwent a minimally invasive laser enucleation procedure, and the biopsy results confirmed prostate cancer. The doctor arranged for a bone scan and MRI, which showed no ...
Dr. Du Shixi Reply:
Hello: 1) Postoperative urinary incontinence generally improves gradually over several months. If the amount of leakage decreases, it will continue to improve. Medication can also help, but the extent of recovery varies. 2) Hormonal therapy is a common treatment option that suppr...[Read More] Understanding Prostate Cancer: Managing Urinary Incontinence and Treatment Options
Understanding Prostate Health: Insights from Dr. Lee on Common Concerns
Hello, Dr. Lee has some more questions? Response from Dr. Hsin-Yi Lee, Urologist: Given your age, it is unlikely that you are experiencing true benign prostatic hyperplasia (BPH), and medications like Alfuzosin are generally not necessary. Alfuzosin does not prevent the developme...
Dr. Li Xinyi Reply:
Generally speaking, if a transrectal ultrasound measures the prostate size to be greater than or equal to 30 cubic centimeters, a doctor may indicate that there is an issue with prostate enlargement. However, it is not that straightforward; this can be related to the patient'...[Read More] Understanding Prostate Health: Insights from Dr. Lee on Common Concerns
Impact of Medication on Ejaculation Issues in Prostate Enlargement Patients
Abnormal ejaculation caused by medication? I have been suffering from benign prostatic hyperplasia for a long time, with a PSA level between 6 and 7. Following my doctor's advice, I have been taking dutasteride capsules. After long-term use, I have gradually experienced side...
Dr. Du Shixi Reply:
Hello: No, it may be due to the relaxation of the prostate, causing semen to flow into the bladder and being expelled during urination. Wishing you good health.[Read More] Impact of Medication on Ejaculation Issues in Prostate Enlargement Patients
High PSA Levels: Should You Consider Surgery or Seek a Second Opinion?
Elevated PSA levels? My father is 78 years old. His PSA levels have been consistently around 1.7 every six months, but this month it suddenly spiked to 32.5. The doctor immediately conducted a urinary tract examination and an ultrasound, but did not suggest further blood tests, m...
Dr. Cai Zhuorong Reply:
"An increase in PSA is not an indication for laser surgery. It may be beneficial to further discuss with your physician the reasons for recommending surgery and any other considerations. If a second opinion is needed, you are welcome to bring your father to our urology outpa...[Read More] High PSA Levels: Should You Consider Surgery or Seek a Second Opinion?
Understanding Genital Burning: Causes, Diagnosis, and Treatment Options
Genital burning sensation Hello doctor, my symptoms include burning in the genital area, frequent urination, and discomfort in the genital area when I have a full bladder, but the amount of urine is not significant. This has been ongoing for a year, during which I have taken vari...
Dr. Li Xinyi Reply:
A normal PSA level does not necessarily indicate that there is no inflammation of the prostate. The detection of enterococci in stool may suggest anal sexual activity without proper hygiene and protection. If an infection is confirmed and treated successfully, with no bacteria re...[Read More] Understanding Genital Burning: Causes, Diagnosis, and Treatment Options
Post-Prostate Cancer Surgery: Understanding PSA Levels and Follow-Up Care
Post-prostate cancer surgery Dear Dr. Chien, I underwent a Da Vinci prostate cancer surgery on December 14th last year. During my follow-up visit, I had blood tests for serum PSA on the following dates: January 18th (0.025), February 15th (0.017), March 30th (0.023), April 29th...
Dr. Jian Weihong Reply:
Hello: A PSA level of less than 0.2 is defined, and it is also important to consider the surgical staging. You may discuss this with the surgeon. Wishing you good health. You can refer to the online article by Dr. Huang Shu-bin regarding the surgical treatment and follow-up of pr...[Read More] Post-Prostate Cancer Surgery: Understanding PSA Levels and Follow-Up Care
Understanding Post-Surgery PSA Levels After Da Vinci Prostate Cancer Surgery
Da Vinci Surgery Dear Doctor, I underwent a Da Vinci robotic-assisted prostate cancer surgery on December 14th last year. During my follow-up appointments, my blood tests showed the following serum PSA levels: 0.025 on January 18, 0.017 on February 15, 0.023 on March 30, 0.028 on...
Dr. Du Shixi Reply:
Hello: A PSA level of less than 0.2 is defined, and it is also important to consider the surgical staging. You may discuss this with the surgeon. Wishing you good health. You can refer to the online article by Dr. Huang Shu-bin on the surgical treatment and follow-up of prostate ...[Read More] Understanding Post-Surgery PSA Levels After Da Vinci Prostate Cancer Surgery
Evaluating BPH: Is Transrectal Ultrasound Safe for Prostate Cancer Screening?
BPH Rectal Ultrasound My father is a 73-year-old male with a medical history of hypertension and diabetes for over 15 years, as well as G6PD deficiency. He underwent thyroidectomy three years ago due to thyroid nodules. Current vital signs show BP: 128/76 mmHg. Laboratory results...
Dr. Cai Zhuorong Reply:
Is it appropriate to perform a "rectal ultrasound" under local anesthesia? Is the risk associated with this procedure high? There is a certain level of risk, primarily related to infection; however, not undergoing a biopsy also carries the risk of missing a timely diagn...[Read More] Evaluating BPH: Is Transrectal Ultrasound Safe for Prostate Cancer Screening?
Does a Sudden Increase in Testosterone Affect PSA Levels?
A sudden increase in testosterone levels can affect PSA (prostate-specific antigen) values. Elevated testosterone may lead to an increase in PSA levels, which could potentially indicate prostate issues. It is important to monitor PSA levels in conjunction with testosterone therap...
Dr. Li Minghui Reply:
Hello: After surgery, theoretically there should be no cancer cells and no issues related to testosterone. PSA can be used to monitor treatment effectiveness, and regular check-ups are sufficient. As for why it was so low last month, it is worth considering whether hormone therap...[Read More] Does a Sudden Increase in Testosterone Affect PSA Levels?