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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Prostate Cancer Be Treated?

I have prostate cancer as confirmed by two previous biopsies. My PSA levels have historically been high and erratic, ranging from 3.0 to 7.0. (up and down over the past 7 years). My PSA level this past May was 5.5. My PSA test results from 4 weeks ago were 11.1. ) My Urologist of nine years (inclusive of this past may), retired in August and had recommended an MRI in the event of increased PSA levels. My New Urologist wants to do another Biopsy. What of these options are the most accurate or is there a better option? Thank You. (p.s my age is 64)
Mon, 2 Jul 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

We will try to help you in best way possible. First of all it's sad to know what you had been going through lately. Based on the history you have shared, both MRI and biopsy should be done , as both will reveal the type of growth and extent of spread. Meanwhile close liason with a urologist should be kept, to discuss for anti androgen therapy if needed. If urinary complaints like retention etc appear catheter may also be needed to reduce urinary retention.

Hope I have answered your query. Let me know if I can assist you further.
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How Can Prostate Cancer Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. We will try to help you in best way possible. First of all it s sad to know what you had been going through lately. Based on the history you have shared, both MRI and biopsy should be done , as both will reveal the type of growth and extent of spread. Meanwhile close liason with a urologist should be kept, to discuss for anti androgen therapy if needed. If urinary complaints like retention etc appear catheter may also be needed to reduce urinary retention. Hope I have answered your query. Let me know if I can assist you further.