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Answered in 3 hours by:
11/6/2010
Dr. B, Urologist
Category: Urology
Satisfied Customers: 62
Experience: Trained in Adult and Pediatric Urology, Fellowship trained in Urologic Oncology.
VerifiedIf you are still having bleeding in the urine you need another full evaluation for this by your urologist. You do need another cystoscopy as well as imaging with CT scan to fully evaluate your kidneys and ureters. You should also have a urine culture and urine cytology test. If all these are negative then it is probable that the blood is coming from the prostate. A medication like Avodart or Proscar could help if this ends up being the problem. I hope this helps you.
I would consider the bleeding a separate issue entirely from whether you need a biopsy based on these PSA values. You are still below the cut-off for age of 2.5. I do agree however that a biopsy may be warranted given that your PSA doubled in 1 year. Conversely you could have it re-checked in a couple months to make sure the most recent value wasn't just an aberrant one. If it is still above 2 then I agree a biopsy is warranted. But that issue is not urgent. The bleeding is separate and should be evaluated more promptly. Bladder cancer was be ruled out as a possibility and this takes significant precedence over prostate cancer screening. If you can't get a complete evaluation for the bleeding as I outlined above in the next several weeks, then you may want to consider what you've mentioned above. I hope this helps.
Dr. B, Urologist
Category: Urology
Satisfied Customers: 62
Experience: Trained in Adult and Pediatric Urology, Fellowship trained in Urologic Oncology.
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