Prostate Cancer?

derrick10

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I waa in the shower a couple days ago and did a self examination on my prostate. I notoced what felt like a bump its seemed hard and was next to my prostate. Should I be concerned. could it be a hemroid thefe is no pain when I touch it and no blood in my cum or urine.:confused:
 

nudeyorker

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Whether it's this or any other concern you should just go to the doctor ASAP so that you don't lay awake at night thinking about what could be. It might be nothing (it probably is)... but it's better to know for sure or take medical advice from strangers on an internet discussion board.
 

bigd1977

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I am a prostate cancer survivor and I can tell you from experience, the only way to know for sure is to first see your family doctor. Get a professional prostate exam and get a PSA test. The PSA (prostate specific antigen) should be 0! If it is elevated, you will be or should be refered to a Uro specialist. He/She may recommend a biopsy of the prostate gland. This is where the real fun begins! :eek: No fun indeed! However, this is the only way to know for certain! Best of luck and please don't put this off! The earlier it is caught, the greater the chance of a full recovery!

NO MAN SHOULD EVER DIE FROM PROSTATE CANCER!!!!

Good luck brother and please keep us posted!

Dan
 

pmax

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The PSA (prostate specific antigen) should be 0! If it is elevated, you will be or should be refered to a Uro specialist. He/She may recommend a biopsy of the prostate gland.

Actually, it should only be zero if you've had your prostate removed. Anyone with a prostate should have a PSA. If you've had your prostate removed and you have a PSA above 0, it means your cancer has metastasized. Anyone with a prostate should have a PSA, and the new recommendation is to no longer do a PSA on someone without a history of prostate cancer as it is not a very specific test (it can be elevated in a number of cases, not just cancer), and may lead to unneeded biopsies that you mention are unpleasant.

Anyway, for the OP: You're 39. Prostate cancer isn't usually something that comes up for Men until their 60s. I'm also not sure what you meant when you said you did a self-prostate exam and felt a lump next to it. Your prostate is located a few inches up your anus and in front of your intestines. Most people can't touch their prostate directly, and if they do the won't feel much of their prostate. Prostate cancer does not usually feel like a lump on inspection, but hard (a normal prostate should feel like the tip of your nose, cancer will feel like your forehead). That being said, if it is prostate cancer, you should know that it is a very survivable disease.
 

xX_Sarah_Xx

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Actually, it should only be zero if you've had your prostate removed. Anyone with a prostate should have a PSA. If you've had your prostate removed and you have a PSA above 0, it means your cancer has metastasized. Anyone with a prostate should have a PSA, and the new recommendation is to no longer do a PSA on someone without a history of prostate cancer as it is not a very specific test (it can be elevated in a number of cases, not just cancer), and may lead to unneeded biopsies that you mention are unpleasant.

Anyway, for the OP: You're 39. Prostate cancer isn't usually something that comes up for Men until their 60s. I'm also not sure what you meant when you said you did a self-prostate exam and felt a lump next to it. Your prostate is located a few inches up your anus and in front of your intestines. Most people can't touch their prostate directly, and if they do the won't feel much of their prostate. Prostate cancer does not usually feel like a lump on inspection, but hard (a normal prostate should feel like the tip of your nose, cancer will feel like your forehead). That being said, if it is prostate cancer, you should know that it is a very survivable disease.

This sums it up pretty nicely. :) If you want a little more info, this site gives some extra evidence-based information on PSA (without being too difficult to read): Prostate-Specific Antigen (PSA) Test - National Cancer Institute

Also, as mentioned before, if you're worried about it, see your doctor :)
 

lovemesomeblack

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I too am a cancer survivor . I had a radical prostectomy 4 years ago . Went in for a routine exam and PSA . My PSA was 1.2 which is very low and normal , but I had a small lump on the prostate , after the biopsy I was diagnosed with cancer and had surgery a month later . I am cancer free and its been a long road , some guys have no problems at all . I ride horses all the time so that created a little bit of a problem for me . Go and get checked by someone who knows what they are doing and weigh all the options before you do anything . GOOD LUCK AND KEEP US UPDATED .

Cowboy .
 

FuzzyKen

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The best thing and I will echo again what has been recommended to you multiple times already is to go in and get it checked. You will need several tests and if you have a cheesy HMO start screaming on this one. There are two different PSA tests, coming from a medical family most MD's get a PSA-2 for themselves if this means anything over a PSA-1. The next thing you will need will be a DRE (Digital Rectal Exam) and you need both my friend. You need a PRO with his finger up your rear end. I am nearly 60 years old and I have lost a number of friends to prostate cancer. Even though I have no family history of adenocarcinoma (In men this is breast, prostate, and mainly testicular cancer and in women it is breast, ovarian, cervical, and related, and the genes predisposing one to this can be genetically inherited.) Again you need to be checked. Look, there are many who have suffered from and have been treated for it that are famous people. It has also been the cause of death for many famous people as well. Good Luck most of those who are in this thread will keep you in our thoughts as you go through the testing.
 

Frodo46888

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Some men are reluctant to see a doctor about any genital problem. Some men are reluctant to see a doctor about problems urinating. Some men avoid the doctor's finger up the anus. Add them together, and you have too many guys who don't follow up on changes that could indicate prostate cancer.

The PSA test is unreliable, and prostate biopsies sometimes cause problems, but if cancer is a possibility it's worth pursuing, especially for a younger man. At 73 my prostate is enlarged, but my PSA is within the normal range, and unless some new symptom emerges I will leave well enough alone. For men my age and older, even if cancer is suspected, "watchful waiting" is a viable option, since I'm more likely to die of something else.

But at age 39, please see a urologist! Catching it promptly will give you another good 39 years.
 

derrick10

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I am wry glad to have all the feed back. And to have you guys share your sirvivor stories with me is amazing. I am going to the doctor on Tue. I will keep you posted on what is said. I feel a lot better going into my exam with more info. Its good to have heard from someone who has experienced the process of diagnosis and treatment.
 

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My prostate story - a lesson for all

I had PSA tests for many years as part of my annual physical
As time progressed, the readings rose from 1.8 to 2.6
Then suddenly there was a jump to 4.2
(4.0 is considered the upper acceptable limit)
My doc referred me to a urologist who immediately recommended a biopsy
I suggested a second PSA test first - and he agreed
The second test came back 2.8
I had my PSA blood work taken the day after my doc's digital exam.
When I mentioned this my doc said "PSAs are elevated by prostate massage, always allow a week after any prostate massage for a PSA test"
BottomLine (npi): Get PSA before digital exam, or any prostate massage, or wait at least a week to preclude an erroneous result
 
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B_mature54

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My prostate story - a lesson for all

I had PSA tests for many years as part of my annual physical
As time progressed, the readings rose from 1.8 to 2.6
Then suddenly there was a jump to 4.2
(4.0 is considered the upper acceptable limit)
My doc referred me to a urologist who immediately recommended a biopsy
I suggested a second PSA test first - and he agreed
The second test came back 2.8
I had my PSA blood work taken the day after my doc's digital exam.
When I mentioned this my doc said "PSAs are elevated by prostate massage, always allow a week after any prostate massage for a PSA test"
BottomLine (npi): Get PSA before digital exam, or any prostate massage, or wait at least a week to preclude an erroneous result

Also, having sex the day or night before a PSA test will cause elevated levels. Allow two or three days after sex before having the test. I learned this from personal experience.
 

Flexxx

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Be wary of high PSA numbers. Some years ago my PSA number came in at 15 and my doctor immediately scheduled a prostrate biopsy which I had to wait for 2 weeks to get in. All the while I'm nervous about having cancer. I asked him to let me take the test again but he said it wouldn't make a difference. WRONG ANSWER. I wish I would have pushed him on the retake. I had the biopsy which turned out negative and ended upon with retrograde ejaculation, which means when I cum, I don't cum much at all.

PSA numbers can be wrong if you have ejaculated within 24 hours of the test! My doctor didn't k ow that and I only discovered it by doing research on it after the biopsy screw up.
 

neintynein

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I am wry glad to have all the feed back. And to have you guys share your sirvivor stories with me is amazing. I am going to the doctor on Tue. I will keep you posted on what is said. I feel a lot better going into my exam with more info. Its good to have heard from someone who has experienced the process of diagnosis and treatment.

Keep your Tuesday appointment, of course, but if you're at all in doubt about the result, go directly to one of these hospitals:
NCI-Designated Cancer Centers - National Cancer Institute

NCI-designated cancer centers are at the forefront of NCI-supported efforts at universities and cancer research centers across the United States that are developing and translating scientific knowledge from promising laboratory discoveries into new treatments for cancer patients.

Most doctors are good doctors but you really want to deal with experts when cancer is a possibility. My dad would be long since dead if he'd messed about with second-stringers any longer than he did.
 

eurotop40

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Guys, apparently the PSA test is sensitive but not specific.
There are lots of possibilities of prostate cancer management and I would recommend not to succumb to the greed of the physicians.
 

rayray

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Some men are reluctant to see a doctor about any genital problem. Some men are reluctant to see a doctor about problems urinating. Some men avoid the doctor's finger up the anus. Add them together, and you have too many guys who don't follow up on changes that could indicate prostate cancer. {QUOTE}.......... This is so very true. I was fortunate. I could not imagine dying of embarasment. To many men put off needed medical help and end up dying because of what you wrote. Mine was Bladder cancer..I went as soon as I noticed problems and 8 and one half years later I am glad I did.
Guys, apparently the PSA test is sensitive but not specific.
There are lots of possibilities of prostate cancer management and I would recommend not to succumb to the greed of the physicians.

Believe it or not but I did not have medical insurance. I opened a phone book and called several Urologist and told them my circumstances..After the 4th call the woman I spoke with said honey we dont care if you have no money,and proceeded to make an appointment. That doctor saved my life.To the OP "Derrick110" See that doctor Tuesday. It is normal to think of the worst case scenario..You will be fine. Please let us know..