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Hi Doc My Husband Had Psa Level 9.163 On 2

Posted on Thu, 23 Jan 2020

Question: Hi doc my husband had psa level 9.163 on 2 October and urologist gave him urimax 0.4 , today again got psa done , it’s 9..915, not to miss he had kidney nephroctomy on 12 March 2019 due to cancer

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Hi doc my husband had psa level 9.163 on 2 October and urologist gave him urimax 0.4 , today again got psa done , it’s 9..915, not to miss he had kidney nephroctomy on 12 March 2019 due to cancer

Answered by Dr. Dr. P. T. Patil (6 hours later)

Brief Answer:
Need to do Prostate Biopsy to rule out cancer of Prostate.

Detailed Answer:
Hello
Thanks for query .

Based on the facts that you have posted PSA readings of your husband is raised as reported in two consecutive blood tests over a interval of 6 weeks .

You have not mentioned age of your husband .

I shall be happy if you can post me more details to help me in making precise comments
1) Has the Urologist done Digital Rectal Examination and opined about presence of any hard nodule on surface of prostate ?

As per normal protocol raised PSA above normal value of 4 is always suspected to be due to Cancer of Prostate unless proved otherwise by doing Ultrasound Guided Multi Core Biopsy of Prostate.

Please visit your Urologist again and discuss the same with him regarding doing prostate biopsy..

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Raju A.T

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. P. T. Patil (6 hours later)

My husbands age is 66 and kindly read my question carefully , he had left radical nephroctomy on 12 March this year , I have asked ur opinion not a suggestion to go to a urologist , that I would do anyway but I asked ur opinion pl

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Follow up: Dr. Dr. P. T. Patil (1 minute later)

Can a person have multiple organ cancer one after the other ??

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Can a person have multiple organ cancer one after the other ??

Answered by Dr. Dr. P. T. Patil (6 hours later)

Brief Answer:
Yes one can have cancer of multiple organs one after other .

Detailed Answer:
Hello
Thanks for follow up .

Since you have not asked specifically about the question which you have asked now in follow up in your earlier query I have not opined about whether person can have cancer of other organ after having cancer of one organ very recently.

It is not uncommon to get cancer of multiple organs one after the other .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. P. T. Patil (3 hours later)

Pl tell me if someone does not have cancer , and even after urimax psa doesn’t come down , wat could be the reason

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Pl tell me if someone does not have cancer , and even after urimax psa doesn’t come down , wat could be the reason

Answered by Dr. Dr. P. T. Patil (9 hours later)

Brief Answer:
Urimax does not have action of lowering PSA

Detailed Answer:
Hello
Thanks for follow up .

Urimax is an alpha adrenergic receptor blocker and it relaxes smooth muscles in prostate and bladder neck and helps to improve urine flow .It has no action of any nature on secretion of PSA by Prostate hence PSA is not lowered even after taking Urimax.

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (16 hours later)

Thx doc , kindly tell me is silodol 0.8 mg lowers psa which was given in March to my husband

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Thx doc , kindly tell me is silodol 0.8 mg lowers psa which was given in March to my husband

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
Silodol does not help to lower down PSA.

Detailed Answer:
Hello
Thanks for follow up .
Silodol is the same group of drug like Urimax and does not lower down PSA.
Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (6 hours later)

But doc few of our friends psa came down drastically after medication , now my husband has been advised mri first , his kft is never less than 1.50, we saw dr nadar yesterday , he’s given suggestion of first mri than biopsy later that too with mri

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Get MRI done

Detailed Answer:
Hello
Thanks for follow up.

PSA is also raised in following conditions
1) Benign Enlargement of Prostate with secondary UTI
2) Acute prostatitis

In such conditions we prescribe antibiotics and Dutasteride for a week or two These drug reduce PSA as the congestion of prostate and infection subsides ,However when ever the PSA reading are high ( More than normal value of 4) as detected on two successive blood tests done at the interval of month or two it is the international protocol to be suspected to be due to Cancer of Prostate which demands either CT guided or MRI guided biopsy of Prostate which is the most confirmative tests to confirm the diagnosis of Cancer of Prostate so that further treatment can be planned out,

Hope this will resolve your doubts .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
MRI detects the confinement of cancer

Detailed Answer:
Hello
Thanks for follow up
Antibiotics and Dutasteride are prescribed if the Dr who has carried out examination suspects it to be Benign Enlargement of Prostate

MRI is noninvasive test and helpful to detect cancer of prostate and whether it is confined to prostate or spread outside If it is positive then biopsy is advised.
whereas biopsy is invasive process and slightly painful

Thanks and Regards
DrPatil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (8 minutes later)

Exactly the same dr nadar said , but my husband was given only urimax !!! He has suggested MRI first , can u pl tell me why mri first ??? And is the biopsy painful

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Exactly the same dr nadar said , but my husband was given only urimax !!! He has suggested MRI first , can u pl tell me why mri first ??? And is the biopsy painful

Follow up: Dr. Dr. P. T. Patil (2 minutes later)

He has asked first for mri prostrate , after that mri guided biopsy

Follow up: Dr. Dr. P. T. Patil (0 minute later)

He has asked first for mri prostrate , after that mri guided biopsy

Follow up: Dr. Dr. P. T. Patil (13 days later)

Hullo doctor !! As per dr nadar suggestion we got creatinine done for my husband before prostrate mri, reports came just some time back ! Creatinine which was 1.50 on 7/9/2019 is 1.63 today and urea was 31 now it’s 44 Utica acid also has elevated to 7.30 , today morning he gave blood for test and day before at night he had 3 whiskey pegs in a party , can this be the reason for increase in urea ?

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (11 minutes later)

Brief Answer:
Taking whisky does not increase Urea and Creatinine.

Detailed Answer:
Hello
Thanks for writing again ,

His creatinine and Urea is raised due to burden over a single kidney (His one kidney being removed earlier ) or due to infection which needs to be investigated .

Is he diabetic?

Taking whisky does not raise the creatinine or urea levels in blood .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Yogesh D

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Yogesh D

Answered by Dr. Dr. P. T. Patil (31 minutes later)

Brief Answer:
Raised level of Urea and Creatinine indicate deranged kidney function .

Detailed Answer:
hello
Thanks for follow up .

Urea and Creatinine are end products of protein and muscle metabolism of the body and excreted through urine, however level of these products in blood is raised whenever kidney is unable to excrete these products in urine either due to paranchymal disease of the kidney or some other pathology.

In your husbands case the kidney function is compromised mostly due to over load over the remaining kidney after removal of other kidney.

The present readings of urea and creatinine of your husband are not alarming and in acceptable range ,However he would need to observe it and monitor the same at frequent intervals .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (11 minutes later)

No doctor he’s not diabetic, only at present his PSA is 9.900 for which mri has been ordered and now this creatinine result has put lot of doubt in our minds as his elevated urea which was always 31 after his nephroctomy!!! Doctor pl tell me what can raise urea and creatinine rise

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Follow up: Dr. Dr. P. T. Patil (19 minutes later)

What dietary precautions he should take??he has enlarged prostrate , why urologist not giving antibiotics m wondering ,last question why his urea increased in 2 months

Follow up: Dr. Dr. P. T. Patil (0 minute later)

What dietary precautions he should take??he has enlarged prostrate , why urologist not giving antibiotics m wondering ,last question why his urea increased in 2 months

Answered by Dr. Dr. P. T. Patil (9 hours later)

Brief Answer:
Reason to rise in urea explained in earlier reply.

Detailed Answer:
Hello
Thanks for followup .

The possible reason to rise in Urea is explained in my earlier reply.

He has to low protein diet ,like eggs,meat and other non Vegetarian food.

Restrict extra salt,.Nephrologist advise would help to control blood urea levels

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (3 days later)

Hi doctor other day we went to urologist after kft urea report came , dr nadar was in Ot so showed to dr XXXXXXX as radiologist and nephrologist refused to allow CT mri after seeing 1.63 creatinine , and only antibiotic given by dr XXXXXXX urologist and nephrologist said don’t bother about 44 urea , carry on with normal diet , m really worried as no further test has been advised to my husband

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
Plain MRI can be done even if serum creatinine is raised

Detailed Answer:
Hello
Thanks for following up .

Raised serum creatinine levels suggest kidney disease which is a contraindication for giving contrast radioactive medium before doing C T or MRI with contrast. However, plain MRI can be performed which also gives details of the inner structure of the Prostate.

Discuss with Dr Nadar .

Thanks and Regards.
Dr Patil

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. P. T. Patil (9 hours later)

Is it ok for him to take antibiotics given by dr XXXXXXX , dr nadar not available before Monday !! We r anxious and nephrologist has not given any rebel diet

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Is it ok for him to take antibiotics given by dr XXXXXXX , dr nadar not available before Monday !! We r anxious and nephrologist has not given any rebel diet

Answered by Dr. Dr. P. T. Patil (29 minutes later)

Brief Answer:
You can give antibiotics

Detailed Answer:
hello
Thanks for follow up .

There is no harm in giving antibiotics .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Yogesh D

Answered by Dr. Dr. P. T. Patil (0 minute later)

Brief Answer:
You can give antibiotics

Detailed Answer:
hello
Thanks for follow up .

There is no harm in giving antibiotics .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. P. T. Patil (3 hours later)

Do u think plain mri will help?? And when should I get his psa now again?

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Do u think plain mri will help?? And when should I get his psa now again?

Answered by Dr. Dr. P. T. Patil (22 minutes later)

Brief Answer:
MRI will reveal internal structure of Prostate in detail

Detailed Answer:
Hello
Thanks for follow up .MRI helps to reveal internal structure of Prostate and help to detect whether there is lesion in prostate or not.It also whether it is organ confined or spread outside the capsule of prostate .

You can repeat his PSA now .

Thanks and Regards.
dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (4 days later)

Hullo doctor , my husband was given zanocin by dr XXXXXXX 7 days back for psa 9.91, and my husband developed sore throat and fever 5 days back , we could not visit dr nadar and mri prostrate too was postponed , on suggestion of our physician to whom we went for my husbands viral fever we got psa and creative done again ! It has increased , m v v v stresses ! Uploading the reports

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Follow up: Dr. Dr. P. T. Patil (5 hours later)

Wish doctors on health are u derstand anxiety of people who spend money and reply quickly instead of not even looking at the question for 6 hours

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Wish doctors on health are u derstand anxiety of people who spend money and reply quickly instead of not even looking at the question for 6 hours

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
Was traveling on a long journey by train

Detailed Answer:
Hello,

Sorry I could not answer your follow up query as I was traveling by train where there was no network to access the internet.

I can understand your concern but has to relax and wait till your husband recovers from viral fever and MRI is done

Thanks and Regards
Dr Patil

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. P. T. Patil (5 hours later)

Pl tell me does psa increase during viral and cold etc !i have uploaded the reports kindly look into it and revert thx

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Pl tell me does psa increase during viral and cold etc !i have uploaded the reports kindly look into it and revert thx

Follow up: Dr. Dr. P. T. Patil (12 hours later)

It’s been 12 hours since I asked a question , want my money back

Follow up: Dr. Dr. P. T. Patil (0 minute later)

It’s been 12 hours since I asked a question , want my money back

Answered by Dr. Dr. P. T. Patil (7 hours later)

Brief Answer:
Contact HCM to get refund

Detailed Answer:
Hello
Pl contact HCM to get refund
Thanks and Regards
DrPatil

Above answer was peer-reviewed by : Dr. Nagamani Ng

Answered by Dr. Dr. P. T. Patil (0 minute later)

Brief Answer:
Contact HCM to get refund

Detailed Answer:
Hello
Pl contact HCM to get refund
Thanks and Regards
DrPatil

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. P. T. Patil (4 hours later)

Pl tell me does psa increase during viral and cold etc !i have uploaded the reports kindly look into it and revert thx!!! Atleast reply to my query , it’s been many hours since I asked ,

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Pl tell me does psa increase during viral and cold etc !i have uploaded the reports kindly look into it and revert thx!!! Atleast reply to my query , it’s been many hours since I asked ,

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
I am travelling along distance train(24 hours journey)

Detailed Answer:
Hello
Thanks for follow up and uploading reports.
Recent PSA has raised to 12.64 .Viral fever does not raise PSA levels.
It is advisable to get prostate biopsy done to confirm the diagnosis.
Thanks and Regards
DrPatil

Above answer was peer-reviewed by : Dr. Kampana

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. P. T. Patil (28 hours later)

Hullo doctor ur consultation has been very helpful !!!!! Yesterday went to urologist , as 6 days back husbands psa was 12.47 !! Had planned to visit R R HOSPITAL tomm ! Incidentally thot of getting his psa done again , so today morning gave blood sample !!! The psa now is 3.7. Kindly advise wat next ? Thx a lot

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (10 hours later)

Brief Answer:
Continue Antibiotic for 10 days & repeat PSA AFTER 10 days

Detailed Answer:
Hello
Thanks for follow up.

Continue taking antibiotics for 10 days and repeat PSAtest after 10 days .
Thanks and Regards
DrPatil

Above answer was peer-reviewed by : Dr. Raju A.T

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. P. T. Patil (7 hours later)

Hi doc thx he had 7 days of antibiotics, r u suggesting further ten days antibiotics ??? And should I repeat psa after leaving antibiotics? Kindly tell me mri also should be done as now PSA IS. 3.9

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Hi doc thx he had 7 days of antibiotics, r u suggesting further ten days antibiotics ??? And should I repeat psa after leaving antibiotics? Kindly tell me mri also should be done as now PSA IS. 3.9

Follow up: Dr. Dr. P. T. Patil (9 hours later)

How long should I wait for doctors reply patiently??? It’s been 9 hrs , kindly read my questions carefully and reply ! Thanks

Follow up: Dr. Dr. P. T. Patil (0 minute later)

How long should I wait for doctors reply patiently??? It’s been 9 hrs , kindly read my questions carefully and reply ! Thanks

Answered by Dr. Dr. P. T. Patil (7 hours later)

Brief Answer:
Yes Take antibiotics for 10 more days

Detailed Answer:
Hello
Thanks for follow up
Take antibiotics for 10 more days and repeat PSA AFTER 10 days..

Take a call to decide doing MRI after getting the report

Thanks and Regards DrPatil

Above answer was peer-reviewed by : Dr. Prasad

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Prasad

Answered by Dr. Dr. P. T. Patil (6 hours later)

Brief Answer:
Antibiotics will not affect his kidney function

Detailed Answer:
Hello
Thanks for follow up
Antibiotics will not have negative effects on his kidney infection
I dot have any. personal report with any Urologist in XXXXXXX

You can find out from local consultants in XXXXXXX

Thanks and Regards
DrPatil

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. P. T. Patil (7 minutes later)

Doctor I hope antibiotic will not effect on him as his creatinine 1.77!!!! Secondly can u recommend a good urologist in either XXXXXXX or XXXXXXX !!! Thanks a lot for ur valuable advice

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Doctor I hope antibiotic will not effect on him as his creatinine 1.77!!!! Secondly can u recommend a good urologist in either XXXXXXX or XXXXXXX !!! Thanks a lot for ur valuable advice

Follow up: Dr. Dr. P. T. Patil (37 hours later)

Hullo doctor , actually earliar 3 times we got his psa total if u see the report pl , last psa was psa free , which came 3.9 , can u pl tell me should we get psa total done now ? He has already started his antibiotics today onwards

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
Get Total PSA done

Detailed Answer:
Hello
Thanks for follow up .

There is lot of debate and controversy over usefulness of PSA to decide over need for Prostate Biopsy.However the ratio of Free to Total PSA gives us a guide line to take a call for the same This decision making deffer from one Urologist to other and it depends upon the individual experience and perception .However you need to get both free and Total PSA done simultaneously..

I would suggest you to get his MRI done and let your Urologist decide about the need for prostate Biopsy.

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 hours later)

Thx but he has started antibiotic ! As per his urologist he has always written S.Psa test , very confusing , should he stop the antibiotics

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Thx but he has started antibiotic ! As per his urologist he has always written S.Psa test , very confusing , should he stop the antibiotics

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
S PSa stands for Serum PSA means Total PSA

Detailed Answer:
Hello
Thanks for follow up
S.PSA stands for Serum PSA meaning there by Total PSA

Taking antibiotics does not affect the results of the test.

Thanks and Regards
DrPatil

Above answer was peer-reviewed by : Dr. Nagamani Ng

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. P. T. Patil (37 minutes later)

Was very happy seeing free psa 3.9 thinking his psa has come down , have got total psa done today , m v v v vworried , should I take biopsy appointment for him from RR or wait for total psa result , 10days back it was 12.40, what will happen now doc ? I have wasted few more days by seeing lowered free psa least realising ki have to take total psa

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (6 hours later)

Brief Answer:
Do not worry and take it easy .

Detailed Answer:
Hello
Thanks for follow up .

Do not worry even you wait for few more days .
Let the report of Total PSA come and then take an appointment for biopsy of Prostate .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (9 hours later)

Good morning, his psa report came just now , it’s 15.1 , tomm we r going to RR for biopsy appointment! Doctor can BPH increase the psa so rapidly ?? It was 12.40 on 12! Pl tell me honestly the reason for rapid increase

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
PSA can rise rapidly if there is active infection in BPH.

Detailed Answer:
Hello
Thanks for follow up .

PSA does rise rapidly if there is an active infection .It can also rise if there is cancer of Prostate

Please note that raising PSA is a screening guideline to decide need for biopsy ,The final diagnosis is confirmed only on biopsy .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (1 hour later)

Hi doc should he stoyhe antibiotic he started again , it’s been 4days ,, we ll be going to doctor XXXXXXX Saturday is RR urology opd, secondly pl tell me urologist or oncologist who does biopsy

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Hi doc should he stoyhe antibiotic he started again , it’s been 4days ,, we ll be going to doctor XXXXXXX Saturday is RR urology opd, secondly pl tell me urologist or oncologist who does biopsy

Answered by Dr. Dr. P. T. Patil (6 hours later)

Brief Answer:
Urologist will do Biopsy procedure

Detailed Answer:
Hello
Thanks for follow up .

Normally Urologist do the biopsy of Prostate .However Radiologist does MRI guided Prostate Biopsy .

It does not make any difference who does it .

You can stop antibiotics .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (30 minutes later)

If there is active infection , wouldn’t it have been ok with 7 days antibiotic or psa would have stopped rising ???? And pl tell me can I get his plain mri done today

Follow up: Dr. Dr. P. T. Patil (0 minute later)

If there is active infection , wouldn’t it have been ok with 7 days antibiotic or psa would have stopped rising ???? And pl tell me can I get his plain mri done today

Follow up: Dr. Dr. P. T. Patil (1 hour later)

Kindly tell me with cancer too psa rises 2 to 3 point in a week , pl answer all my questions as m very anxious and kindly tell me should we get MRI done also plain

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Kindly tell me with cancer too psa rises 2 to 3 point in a week , pl answer all my questions as m very anxious and kindly tell me should we get MRI done also plain

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
PSA can rise fast if the cancer is advanced or active

Detailed Answer:
Hello
Thanks for follow up .
PSA can rise 2-3 points in a week .There is no fixed criteria for PSA to rise .

MRI is very useful to trace out whether cancer is confined to Prostate or whether it has spread outside the prostate and to to distant locations like bone,.lymph nodes etc .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (5 days later)

Hullo doctor , we went to RR hospital as recommended by dr nadar , Doctor did DRE and recommend Mri with spectroscopy, The report came just now !!! Kindly suggest is it ok thanks

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Hullo doctor , we went to RR hospital as recommended by dr nadar , Doctor did DRE and recommend Mri with spectroscopy, The report came just now !!! Kindly suggest is it ok thanks

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
Upload entire MRI report

Detailed Answer:
Hello
Thanks for uploading concluding part of MRI report .

I shall be able to make comments after going through entire report as issued by the MRI center .Please upload the entire report
Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 hours later)

Have done it already , kindly check it out

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Have done it already , kindly check it out

Answered by Dr. Dr. P. T. Patil (6 hours later)

Brief Answer:
As per MRI report, there is no evidence of cancer of Prostate

Detailed Answer:
Hello
Thanks for uploading the report.

There is no evidence of Prostate Cancer He has Benign Enlargement of Prostate.
Please consult your Urologist for further treatment.

Thanks and Regards
Dr Patil

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Answered by Dr. Dr. P. T. Patil (5 hours later)

Brief Answer:
Treatment is decided on severity of symptoms

Detailed Answer:
Hello
Thanks for follow up
Treatment for BEP depends upon the severity of symptoms that patient has which includes frequency for urination, nocturnal frequency, urine flow
Treatment is either medical or Endoscopic surgery for resection of prostate to clear off the obstruction to the urine outflow caused by Enlarged Prostate

It will be decided by your Urologist

Thanks and Regards
DrPatil

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. P. T. Patil (5 minutes later)

Thanks doctor , can u pl tell me usually hoes BPH treated ???

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Thanks doctor , can u pl tell me usually hoes BPH treated ???

Follow up: Dr. Dr. P. T. Patil (29 hours later)

Hullo doc we went to dr nadar with mri spectroscopy report (plain) , he has told only to continue silodol right now and consult army hospital only !!! M really confused

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Hullo doc we went to dr nadar with mri spectroscopy report (plain) , he has told only to continue silodol right now and consult army hospital only !!! M really confused

Answered by Dr. Dr. P. T. Patil (0 minute later)

Brief Answer:
Silodol is a drug prescribed in BPH .

Detailed Answer:
Hello
Thanks for follow up .

Silodol is the drug prescribed to patients with BPH .It helps to relax the smooth muscles in bladder neck and prostate and relieve the obstruction to urine flow so as to improve urine flow .However to reduce the size of prostate or arrest further enlargement of prostate one has to take Dutasteride once daily.You can start taking Silodol D once daily .
As regards referring you to Military Hospital it is likely that your husband may be a retired military personnel.It will be better to get the fact clarified from him the reason for your husband to refer him to Military Hospital.

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (17 minutes later)

Brief Answer:
MRI with Spectroscopy is reliable investigation

Detailed Answer:
Hello
Thanks for follow up .

Monitor his PSA levels at monthly interval and if it still shows raising trend you can decide to get his Prostate Biopsy done .Biopsy is the final answer and most definitive diagnostic tool in diagnosis of any cancer .This will help to resolve the issue once for all and help you to relax .

Thanks and Regards.
Dr XXXXXXX

THANKS AND rEGARDS.
dR XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (15 minutes later)

Yes u r right he’s retired officer of iaf , but we can take treatment in any good hospital as per our entitlement, since earliar dr nadar sent us to army hospital as fortis XXXXXXX does not have mri with spectroscopy, and dr pl tell me is plain mri with spectroscopy reliable ? Or still biopsy neede

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (16 minutes later)

Brief Answer:
Do PSA test every month .

Detailed Answer:
hello
Thanks for follow up .

Repeat PSA test every month and take a call regarding Biopsy of Prostate .

Consult Urologist in Military Hospital for further follow up and start taking Silodal D once daily .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (9 minutes later)

Thanks doc , he has no synthetic ms at all other than high psa! Last psa was done 10 days back ! Do u suggest we meet doc in army and start silodol D ? He’s as it is taking plain silodol , and kindly suggest when should be next Psa ??

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Follow up: Dr. Dr. P. T. Patil (5 days later)

Hullo doc happy new year !!! Finally we went to RR today with mri reports !! Dr Sethi head of urology gave my husband silodol and Levofloxacin for 3 week !!! Was wondering antibiotic for BPH ????

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Hullo doc happy new year !!! Finally we went to RR today with mri reports !! Dr Sethi head of urology gave my husband silodol and Levofloxacin for 3 week !!! Was wondering antibiotic for BPH ????

Answered by Dr. Dr. P. T. Patil (10 hours later)

Brief Answer:
There is nothing wrong in prescribing antibiotic.

Detailed Answer:
Hello
Thanks for follow up.

BPH is always associated with chronic infection of Prostate (Chronic Prostatitis) which causes leads to PSA levels to raise and that is the reason it is normal protocol to prescribe antibiotic along with alpha blockers like Silodol.

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (1 hour later)

And doc he has given it for 3week? And has told to get psa done after that

Follow up: Dr. Dr. P. T. Patil (0 minute later)

And doc he has given it for 3week? And has told to get psa done after that

Answered by Dr. Dr. P. T. Patil (7 hours later)

Brief Answer:
Follow up with him

Detailed Answer:
Hello
Thanks for follow up .
He is right .Follow his instructions and be in touch with him for further treatment .
Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Brief Answer:
Follow up with him

Detailed Answer:
Hello
Thanks for follow up .
He is right .Follow his instructions and be in touch with him for further treatment .
Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (31 minutes later)

Thx doc , mri was plain with spectroscopy without contrast !!! Hope that’s reliable

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Thx doc , mri was plain with spectroscopy without contrast !!! Hope that’s reliable

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
Yes It is reliable

Detailed Answer:
Thanks for follow up
MRI with spectroscopy is adequate
Thanks and Regards
DrPatil

Above answer was peer-reviewed by : Dr. Yogesh D

Answered by Dr. Dr. P. T. Patil (0 minute later)

Brief Answer:
Yes It is reliable

Detailed Answer:
Thanks for follow up
MRI with spectroscopy is adequate
Thanks and Regards
DrPatil

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Above answer was peer-reviewed by : Dr. Yogesh D