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urologyguru, Urologist MD
Category: Urology
Satisfied Customers: 1111
Experience:  I am fellowship-trained MD Urologist in active practice. I treat all types of cases from genital, cancer, urinary, stone and incontinence.
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I just received a letter from my Urologist indicating that I

Customer Question

I just received a letter from my Urologist indicating that I had PSA result of 5.7. It has been 2 years since my last test, which were always under the 4.0 marker. What are the odds that I have cancer?
Submitted: 3 years ago.
Category: Urology
Expert:  urologyguru replied 3 years ago.
Hello! Thanks for allowing me to help you today. Please feel free to ask any follow up questions and positive feedback is much appreciated.
Prostate cancer is primarily found by an elevated PSA. Most patients do not have any symptoms and feel great.
Of those patients who have an elevated, only one out of six actually have a diagnosis with prostate cancer odds are in your favor. I would still follow up with your urologist to go through the full evaluation.
I hope this helps. Please ask any follow up questions you have until you feel satisfied with your answer. Positive ratings are much appreciated!
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Customer: replied 2 years ago.

Well to follow up, it turns out I did have Prostate Cancer. I had Radical Prostatectomy surgery on April 21 this year, and have had no negativity from the surgery except my inability to achieve an adequate erection for sexual intercourse. Through masturbation I have been able to have very good, actually really excellent "dry" orgasms, but with only a semi-erect penis.

My doctor just prescribed 20 ML Cialis with the instruction to take 2 hours before sexual intercourse. I would like a bit of detail on the definition "2 hours before". Does that mean no later than 2 hours, no sooner than 2 hours, or specifically when would the peak effectiveness be achieved?

My wife and I are anxiously awaiting your reply.



Expert:  urologyguru replied 2 years ago.
No sooner than 2 hours before intercourse.
I am glad the surgery went well!
Please leave a positive rating.