PSA value of 11, but I have a UTI.

[simon43]

7 minutes ago, Boyn said:

Simon43 the faster you move on this the better for you, my PSA was 5.8 my doctor was not too concerned, turned out i had advanced prostate cancer, im still alive 6 years down the road although some harsh treatment. Dont want to scare you but get moving.

 

Thanks!  My plan is to visit Bangkok Samui on Saturday for a consultation, then go to Bangkok City early next week. 

 

Sheryl, I don't think April Insurance covers for treatment at Bungrungrad (I know you also have this insurance policy).  What doctor/hospital do you suggest?

[Sheryl]

8 minutes ago, simon43 said:

 

Thanks!  My plan is to visit Bangkok Samui on Saturday for a consultation, then go to Bangkok City early next week. 

 

Sheryl, I don't think April Insurance covers for treatment at Bungrungrad (I know you also have this insurance policy).  What doctor/hospital do you suggest?

April does not exclude any hospital.

 

 

[moogradod]

22 minutes ago, Boyn said:

Simon43 the faster you move on this the better for you, my PSA was 5.8 my doctor was not too concerned, turned out i had advanced prostate cancer, im still alive 6 years down the road although some harsh treatment. Dont want to scare you but get moving.

Mine was 6.4 - jumping up from 4.4. The growth rate is important. Had a negative DRE before and even a negative biopsy performed by the private doctor. They took me to a top notch specialist of the University Hospital Zurich where they performed a deeper biopsy under anesthesia. Result: More than 40% cancerous with a Gleason Score 8. They did postpone several other surgeries to perform a prostatectomy on me immediately using a da Vinci surgery robot. That was THEIR view of urgency.

 

My advice: Whatever you do or hope. Drop what you have in the hand, get on the phone and make an appointment for a thorough biopsy with the best specialist in Bangkok you can find at the very earliest possible date. Only a biopsy gives you certainty. Yes, I am well aware of the risks but these are tiny in relation to anything else. Every day counts. Good luck.

Edited November 17, 2022 by moogradod

[simon43]

After some careful thought, I will take the passenger ferry to Samui tomorrow morning, but rather than go to Bangkok Samui Hospital, I will then fly up to Bangkok.  Sheryl, I would appreciate your advice as to which doctor to consult (as you know, I have April Essential Insurance, so am only out of pocket for the first $500). 

[Sheryl]

10 hours ago, simon43 said:

After some careful thought, I will take the passenger ferry to Samui tomorrow morning, but rather than go to Bangkok Samui Hospital, I will then fly up to Bangkok.  Sheryl, I would appreciate your advice as to which doctor to consult (as you know, I have April Essential Insurance, so am only out of pocket for the first $500). 

Actually you wil be out of pocket all of it if it turns out you don't need to be hospitalized even briefly.  But good chance you will need to be.

 

Suggest this doctor  https://www.bumrungrad.com/en/doctors/Charuspong-Dissaranan

 

Assume you know you'll need pre-authorizatoon to be hospitalized, hospital can arrange that but allow up to week for it. You do not need pre-authorization for outpatient costs related to subsequent hospitalization though.  Have to pay that first though then seek reimbursment, unlike hodputaluzation itself which hospital is paid directly.

[CM4Me]

Hi Simon, I was treated for prostate cancer at Bumrungrad earlier this year - my PSA at commencement 11.66 and rising.

I chose to have radiation, 25 low doses and 2 high doses (low doses are done as an outpatient and high doses are done as an inpatient - one or two nights per treatment)

My 2nd post treatment checkup last month revealed my PSA now is 0.016. That' correct 0.016.

I found the Drs, staff, the Hospital, everything 1st class - highly recommended 

Best of luck

[JimmyJ]

5 minutes ago, CM4Me said:

Hi Simon, I was treated for prostate cancer at Bumrungrad earlier this year - my PSA at commencement 11.66 and rising.

I chose to have radiation, 25 low doses and 2 high doses (low doses are done as an outpatient and high doses are done as an inpatient - one or two nights per treatment)

My 2nd post treatment checkup last month revealed my PSA now is 0.016. That' correct 0.016.

I found the Drs, staff, the Hospital, everything 1st class - highly recommended 

Best of luck

What side effects?

[Northstar1]

On 10/10/2022 at 11:21 AM, Sheryl said:

Ultrasound would usually be first step

 

Then possibly MRI

 

As other poster said biopsy is indicated only if there are suspicious findings. 

Thanks for the reply Sheryl, at least one person on this forum has knowledge of such conditions.

the other computer doctors should be taken with a grain of salt

[lopburi3]

8 hours ago, Sheryl said:

Suggest this doctor https://www.bumrungrad.com/en/doctors/Charuspong-Dissaranan

Will add that I had this doctor perform major cancer surgery (bladder removal) six years ago and highly recommend.  Very good English and very calm manner.  And he knows what he is doing (my operation was observed by international accreditation team and reviewed by US insurance MD) and he treats everyone with respect.

[Boyn]

20 hours ago, moogradod said:

Mine was 6.4 - jumping up from 4.4. The growth rate is important. Had a negative DRE before and even a negative biopsy performed by the private doctor. They took me to a top notch specialist of the University Hospital Zurich where they performed a deeper biopsy under anesthesia. Result: More than 40% cancerous with a Gleason Score 8. They did postpone several other surgeries to perform a prostatectomy on me immediately using a da Vinci surgery robot. That was THEIR view of urgency.

 

My advice: Whatever you do or hope. Drop what you have in the hand, get on the phone and make an appointment for a thorough biopsy with the best specialist in Bangkok you can find at the very earliest possible date. Only a biopsy gives you certainty. Yes, I am well aware of the risks but these are tiny in relation to anything else. Every day counts. Good luck.

I also had my prostate removed a very depressing time took me 9 weeks to become dry and stop peeing myself, it also ended my sex life. 18 months later signs of return and i had radiotherapy and a drug that wiped out all the testosterone in my body. But still alive and kicking but not bonking !

[moogradod]

56 minutes ago, Boyn said:

I also had my prostate removed a very depressing time took me 9 weeks to become dry and stop peeing myself, it also ended my sex life. 18 months later signs of return and i had radiotherapy and a drug that wiped out all the testosterone in my body. But still alive and kicking but not bonking !

With a bit of unforeseen complications I remember I had to be absent from work for 3 months and a long time in the hospital. The rest is as you say - pelvic floor therapie etc. But no radiotherapy needed in addition nor any drug. I did not have any spread of bad cells into lymph nodes at the time of surgery. They took 7 samples in suspicious places.

 

The rest is sort of a miracle. I had a Gleason Score diagnosis of 8 (measure of agressivity). This may not mean much to the standard ASEAN poster - but in short: This is a catastrophic prognosis. Now this is more than 11 years ago since the surgery and I did so far not have any sign of what is called a "biochemical relapse". From time to time I take a PSA test for there may be always a rest of cells which produces tiny portions of this antigene - which is normal as long as it does not exceed a certain threshold.

 

So still alive and kicking. Very much to my surprize. Unfortunately apart from kicking there is not much to report (as you mention as well).

 

I wish you all the best and may your condition stabilize for a long time to come or forever. My story shows to fellow patients that it must not necessaryly be the end of the world even under the worst pre-conditions. Thats why I recommended to the OP to move in ultra light speed (just in case).

[xylophone]

2 hours ago, Boyn said:

I also had my prostate removed a very depressing time took me 9 weeks to become dry and stop peeing myself, it also ended my sex life. 18 months later signs of return and i had radiotherapy and a drug that wiped out all the testosterone in my body. But still alive and kicking but not bonking !

Did they use the Da Vinci robotic machine to remove your prostate??

[JimmyJ]

Maybe before creating man, God should have consulted a scientist or two?

 

(They could have straightened him out also on the nipple's function).

[Adumbration]

On 10/8/2022 at 12:23 PM, Sheryl said:

See a urologist. You may have prostatitis.

 

And - very important: get a urine culture before starting antibiotics.

 

Even PSA of 6 would have warranted a work up (DRE and ultrasound)

@simon43 Have a look at my post history and you will see that I have a similiar problem and Sheryl provided some valuable input.

 

First point of call is to have a urine culture with sensitivity to identify what is the best antibiotic for killing your nasty bacteria.

 

PSA of 6 is high as I understand it.

 

Mine came in at 0.7 despite my significant problems.

[Adumbration]

Sorry Simon, I am going to chip in with a question for Sheryl on your thread.

 

Sheryl attached is a copy of my PSA test.  The result is 0.7.  

 

It was done by AndaLab in Phuket.

 

What is the chance that the test result is not correct?

 

I was very shocked when the result arrived I was expecting something 6 or above like Simon.

 

[Adumbration]

@BritManTooWhat side effects do you get from your Cipro?

[simon43]

52 minutes ago, Adumbration said:

@simon43 Have a look at my post history and you will see that I have a similiar problem and Sheryl provided some valuable input.

 

First point of call is to have a urine culture with sensitivity to identify what is the best antibiotic for killing your nasty bacteria.

 

PSA of 6 is high as I understand it.

 

Mine came in at 0.7 despite my significant problems.

Hi, the UTI is dead and buried, sorted out by the antibiotics.  But with no UTI, my PSA is even higher (14.5).  My PSA of 6 was stable at that value for perhaps 15 years, attributed to my enlarged prostate.

 

I have an initial consultation with Dr Viroj on Monday at Bumrungrad (I've just arrived this evening in Bangkok from Koh Phangan).

[Mark Nothing]

My Father, uncles, and all their friends went through this prostate issue for decades. I listened to the never ending stories and complaints. Like they were in a dark room looking for a light switch, but could never quite find it. 

 

So when it was my turn, I knew what not to do.

 

My research uncovered the answer, the devinely created immune system.  Your body creates the elixor of health and vitality, urine.  I have been drinking my urine for years and magically all my ailments dissappeared.  It tastes good, is free with no side affects.  Just whiz in a glass and drink it.  The omnipotent creator's bag of tricks work.

 

The urine breaks down the impurities that have accumulated in the body resetting the body to perfect functioning.

 

Lots of books are available.  Just do an online search.  The best are The Water of Life, by John Armstrong and Your Own Perfect Medicine by Martha Christie.

 

Good luck handling the prostate problem.

[scubascuba3]

25 minutes ago, Mark Nothing said:

My Father, uncles, and all their friends went through this prostate issue for decades. I listened to the never ending stories and complaints. Like they were in a dark room looking for a light switch, but could never quite find it. 

 

So when it was my turn, I knew what not to do.

 

My research uncovered the answer, the devinely created immune system.  Your body creates the elixor of health and vitality, urine.  I have been drinking my urine for years and magically all my ailments dissappeared.  It tastes good, is free with no side affects.  Just whiz in a glass and drink it.  The omnipotent creator's bag of tricks work.

 

The urine breaks down the impurities that have accumulated in the body resetting the body to perfect functioning.

 

Lots of books are available.  Just do an online search.  The best are The Water of Life, by John Armstrong and Your Own Perfect Medicine by Martha Christie.

 

Good luck handling the prostate problem.

Rolf Harris used to rave about drinking his own urine. What benefits did you get? and how do you know it wasn't just a placebo effect?

[Adumbration]

52 minutes ago, simon43 said:

Hi, the UTI is dead and buried, sorted out by the antibiotics.  But with no UTI, my PSA is even higher (14.5).  My PSA of 6 was stable at that value for perhaps 15 years, attributed to my enlarged prostate.

 

I have an initial consultation with Dr Viroj on Monday at Bumrungrad (I've just arrived this evening in Bangkok from Koh Phangan).

Good luck with that.  I look forward to your reports of your experiences with Dr Viroj.

 

I have a normal PSA  (if the test can be trusted).  But I am still having problems peeing so BPH is the likely problem.  I am still yet to have a DRE.  If you have one I would be grateful of your feedback on that proceedure.  I have never have one (although I do know what it entails).

Edited November 18, 2022 by Adumbration

[CM4Me]

23 hours ago, JimmyJ said:

What side effects?

Hi Jimmy - I feel really great, hard to believe I've had such treatment.

 

Very rarely do I get up at night to pee, but during the day I occasionally get the urge to pee NOW.

Sex is out of the question, at the moment, but the DR said he strongly believes things will return to normal in about 12 months - he's been spot on with his advice so far. That's about it

 

[BritManToo]

9 hours ago, Adumbration said:

@BritManTooWhat side effects do you get from your Cipro?

Sensitive tendons in my ankles.

Generally I have to stop exercising for a week while taking, and then another week after just to be safe.

[BritManToo]

9 hours ago, Adumbration said:

Sheryl attached is a copy of my PSA test.  The result is 0.7.  

It was done by AndaLab in Phuket.

What is the chance that the test result is not correct?

I was very shocked when the result arrived I was expecting something 6 or above like Simon.

I went through all the same problems, generally my PSA test result was 0.4 from age 63-65.

[scubascuba3]

On 10/7/2022 at 5:22 PM, BritManToo said:

UTI is a pain, I usually take a 1/2 dose of Cipro or NorfloxStar for 5 days. (1/2 tablet 2x a day)

 

When you say UTI do you mean STI gonorrhea? why choose ciprofloxacin rather than other antibiotics?

[Old Croc]

9 hours ago, scubascuba3 said:

Rolf Harris used to rave about drinking his own urine. What benefits did you get? and how do you know it wasn't just a placebo effect?

He grew an extra leg.

[simon43]

10 hours ago, Adumbration said:

Good luck with that.  I look forward to your reports of your experiences with Dr Viroj.

 

I have a normal PSA  (if the test can be trusted).  But I am still having problems peeing so BPH is the likely problem.  I am still yet to have a DRE.  If you have one I would be grateful of your feedback on that proceedure.  I have never have one (although I do know what it entails).

The DRE is no issue.  30 seconds of his finger up your bum to feel your prostate.  I guess it could be uncomfortable if you tense up.  I just imagine it's my favourite bar girl ????

[BritManToo]

1 hour ago, scubascuba3 said:

When you say UTI do you mean STI gonorrhea? why choose ciprofloxacin rather than other antibiotics?

Easily available at most pharmacies and recommended for UTIs.

Moved from Cipro 500 @100bht to Norfloxstar 400 @80bht.

 

STDs and UTIs are the same thing IMHO.

[lopburi3]

1 minute ago, BritManToo said:

Easily available at most pharmacies and recommended for UTIs.

Moved from Cipro 500 @100bht to Norfloxstar 400 @80bht.

 

STDs and UTIs are the same thing IMHO.

Note price is very important to some.  Cipo is often the cheapest broad spectrum antibiotic (was designed to be held as last resort for biological warfare) and even some doctors prescribe with no valid reason.  This is the only drug I am sure have extreme issues with - would not recommend for anyone as anything but last resort and only after they read up on possible side effects.  

[BritManToo]

7 minutes ago, lopburi3 said:

This is the only drug I am sure have extreme issues with - would not recommend for anyone as anything but last resort and only after they read up on possible side effects.  

Penicillin is deadly to some people.

Just because something doesn't work for you is no reason for everyone to avoid it.

[lopburi3]

1 minute ago, BritManToo said:

Penicillin is deadly to some people.

Just because something doesn't work for you is no reason for everyone to avoid it.

But that medication is bad for a lot of people - and often the results are hidden until too late to recover.  It should not be prescribed for general use at all IMHO.  And suspect if it were not so cheap that would be the case.