I am a Ph.D in Virology. Had BPH (Benign Prostate Hyperplasia) for many years with low PSA (~1.5) and nocturnal urination 3-4 per night.
Upon routine rectal examination a palpable nodule was felt in the right part of my prostate. Biopsy: 2 cores out 10 in left part were positive. Gleason 6 (3+3) ~20-30% of each core. Zero (0) cores of 10 in the left part of prostate were positive. PSA just before biopsy was 2.33. Three months after biopsy PSA went down to 1.22. Endorectal MRI and regular CT showed no signs of cancer.
Right now I tend to prefer active surveillance since I do not want to experience the decrease in quality of life due to definitive treatment (surgery or radiation). I feel (hope) that my cancer will grow very slowly so that a definitive treatment may be postponed for a few years or even more...
I shall test my PSA at 6 months post-detection. I consider having a second biopsy at 6 months or 12 months post-detection.
On 12/2011 (one year after my first biopsy) I had my second biopsy. Results: 3 cores out of 30 were positive. Gleason score 6 (3+3). Four months later My PSA remained very low: 1.13.
In the year between the first and the second biopsies I changed my diet to a more healthy one: Low fat, low sugar, a lot of vegetables, green leaves, olive oil + Vitamin D 5000u/day, Licopen 30/day, Omega 3, Green Tea.
Daily phisical exercises and about 3 hours a week of walking. Daily Qi Gong exercises and daily 20 minutes meditation.
My oncologist and urologist say I can continue with Active Surveillance.
In the mean time, 3 months ago, I had partial nephrectomy: A 2x3 cm tumor was cut out of my kidney and I feel good. The kidney tumor is not connected to the prostate cancer! In September I'll have many tests including PSA.
My second erMRI, done on 28/11/12 showed no change and "nothing to worry about". My oncologist advised a checkup in 6 months and a biopsy 3 years after the previous one (done about a year ago) if there is no change in the meantime.
No change in my situation, I feel good. PSA remains low (1.83). I see my oncologist every 6 months, last meeting - a week ago. He says my prostate is regularly hard. My next meeting will be 4 months from now, with an Oncologist who specialised in Active Surveillance. Blood tests are OK. Going to see Urologist next week.
The Oncologist-Urologist who specialised in Active Surveillance thought it might be good to have another biopsy (maybe by the trans perineal route), but after he saw my 2012 MRI he suggested I have another MRI before the biopsy. My MRI showed no problems accept for "short area of blurred capsule on the right lobe while the cancer is known to be on the left lobe" I'll see my oncologist in two weeks. Until then I am a bit worried.
On 11/2015 I had a Biopsy of the prostate by the MRI-Fusion technique. Sixteen (16) cores were taken.
The results were as follows: "Benign prostatic tissue with areas of glandular atrophy and focal mixed mainly chronic inflammation."
So I continue with Active Surveillance.
I continue Active Surveillance. For the time being I am pleased with the decision I've made.
Ben's e-mail address is: bezir AT netvision.net.il (replace "AT" with "@")