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What is Prostate Cancer
What is Prostate Cancer?

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Ask the Doctor

Q & A - Prostate Cancer

The Q&A's are never to be used as a substitute for professional medical advice, diagnosis, or treatment of your case. Always seek the advice of your physician(s) with any questions you may have regarding you medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this site.

The questions and answers are divided into three sections:

Additional Questions is an archive of past questions and answers. Visit this page if the FAQs do not answer your questions or if you are interested in learning more about a particular topic.

If the current Q&A’s do not answer your question, please submit a question.

Clicking on the questions below will provide you with the corresponding answer. Dr. Catalona has answered all questions.


Recent Questions
All questions are answered by Dr. William J. Catalona.

© Dan Oldfield Find a peaceful moment and consider which direction is best before continuing on your journey.
1.  I was treated with radical prostatectomy followed by salvage radiation therapy 13 years later. Five years after that my PSA again began to rise slowly, and I received my first Lupron injection. One year later the PSA had risen to 0.43 and another urologist recommended another Lupron injection. Now, 2 years later, my PSA is 0.18, almost unchanged from the reading 6 months ago. I would very much appreciate your opinion of what guidelines I should be following regarding the frequency of Lupron injections in my case.
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2.  After using methods other than a biopsy, my PSA went down from 8.7 to 1.6. Should a biopsy still be considered?
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3.  I am 78 years old and in good health. My recent PSA was 5.7 with a % free PSA of 18. My urologist scheduled a biopsy although he estimates that there is only a 20% chance that I have prostate cancer. I would appreciate your thoughts as to what I might expect.
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4.  What would you conclude from my PSA results? Time zero: 5.86, 1 year later: 6.65 and 8.44, and 3 months later: 9.46. Also, is the 3T MRI scan accurate enough to detect cancer?
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5.  My father had a robotic prostatectomy with negative surgical margins. His first postoperative PSA was 0.210; 2 months later it was 0.504. What is happening? Is the rise of PSA correlated with a cancer recurrence? The doctor recommended a PSMA Gallium PET-CT. What do you suggest?
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6.  I underwent a radical approximately 9 years ago with clear margins and seminal vesicles. All of my PSA readings have been undetectable since. Could you give me a general idea of the percentage of tumor recurrence from this tumor?
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7.  My husband had a radical prostatectomy by you 5 years ago (PSA 7.4 and Gleason 4+3) and has tested at 0.00 since surgery. Our son is 35 and took Propecia for baldness from age 18 to 30. Should he have a baseline PSA now or wait until age 40?
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8.  I had a transurethral resection of the prostate (TURP) 2 years ago for benign prostate enlargement. Should I still be having an annual digital exam?
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