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Urology/Possible prostrate cancer

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Question
My husband at his last checkup 1 year ago today had a PS of 4.8. His family physician told him to wait a year and check it again. This year it rose to 10.4!  Of course we know that is bad. He has symptoms of frequent urination and the doctor did a rectal this time and said his prostate was swollen. We have an appt. Tomorrow with a local Urologist. We have looked up different biopsy options and saw the new Blue laser MRI guided prostate laser ablation. Have you heard of this?  We want to make sure it is not some gimmick. Any advice would be greatly appreciated.

Answer
Dave

Most of the time, such increases in PSA are inflammatory and not cancers.

MRI is becoming an excellent way of finding prostate cancers but interpretation skills are still generally lacking and MRI is zti quite expensive. It is best used in selected cases where cancer is strongly suspected but hard to find.  It is still premature

The blue laser treatment for prostate cancer is still investigational.

The best thing to do now is to see a urologist and possibly.a biopsy the standard way which is TRUS or ultrasound. If a cancer is found, forget.about the blue laser but look at HIFU which is up for FDA.approval this summer.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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