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Prostatitis is a common disease that
consists of the inflammation of the prostate usually as a
result of infection. It can cause complications for
neighboring structures and affect the kidneys and seminal
vesicles. It is diagnosed by means of the prostate C.M.P.
just like seminal vesiculitis. A sample of prostatic liquid
is acquired through prostatic massage and a culture is done
to determine the germ that is causing the infection.
However, this should not be done until it has been
determined by a C.M.P. that there are no contraindications
since this could aggravate some diseases. It is usually
treated with antibiotics and anti-inflammatories. If it is
not treated, it could cause sterility and chronic urinary
problems.
A rectal digital examination cannot be used to detect
prostatitis since the only thing that can be done through it
is to determine the shape and consistency of the posterior
aspect of the prostate. It cannot detect the
signs of prostatitis. The PSA usually rises when there
is prostatitis.
The biopsy is not indispensable and is not
an urgent intervention
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The prostate biopsy can be
avoided
Prostate biopsies are usually
requested when the PSA goes up. But the PSA can go
up for many reasons besides cancer.
One of these reasons is precisely
the prostate biopsy. Each time the biopsy is
performed, the PSA goes up much more.
If instead of a biopsy of the
prostate, a
Prostate- C.M.P. is performed,
which includes a color CAD ultrasound of the
prostate, bladder, ureters, seminal vesicles,
testicles, etc., the cause of the elevated PSA will
be found including cancer.
Once the cause is known, and if
no cancer is suspected, it can be corrected with
adequate treatment and the PSA will go down making
as biopsy unnecessary. |
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Preparation
for the Prostate C.M.P.
1.
Be in Bogotá from the night before the exam
2.
Eat a bland diet the night before the exam
3.
The day of the exam, not consume anything except
for a liter of water which should be drunk 10
minutes before the exam, without urinating until
after the examination of the bladder.
4.
Not take any medicine the day of the exam unless
it is indispensable (Ask if it can be taken
beforehand)
5.
Have a travad (or similar) intrarectal enema
(not oral) of 1 liter 3 hours before the
appointment, holding it 15 minutes before
releasing.
6.
Immediately after releasing the enema a thorough
cleaning of the anus with abundant soap and
water, preferably showering. If evacuation is
repeated, a cleaning of the anus with soap and
water should be repeated. There should be no
remains of fecal material or toilet paper.
7.
If the patient uses contact lenses, they should
bring the case and liquid as they may need to
remove them briefly.
8.
Not use talcum powder or cologne except for
underarm deodorant.
9.
Trim the hair in genital area with scissors
10. Bring any imaging exams carried out in the
last year (older than that are useless)
11. Bring laboratory exams carried out in the
previous month (older than that are no good) |
Appointments |
References:
Ries LAG, Eisner MP,
Kosary CL, et al. (eds). SEER Cancer Statistics Review,
1975–2001, National Cancer Institute. Bethesda, MD, 2004
(http://seer.cancer.gov/csr/1975_2001).
Thompson IM, Pauler DK, Goodman PJ, et al. Prevalence of
prostate cancer among men with a prostate-specific antigen
level 4.0 ng per milliliter. The New England Journal of
Medicine 2004; 350(22):2239–2246.
Keetch DW, Catalona WJ, Smith DS. Serial prostatic biopsies
in men with persistently elevated serum prostate specific
antigen values. The Journal of Urology 1994;
151(6):1571–1574.
University of California, San Diego research published
March 19,2007
Sum up this facts:
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Biopsy can distinguish
cancer from non-cancer just when they puncture the
cancer. Statistics show that for any reason most
Biopsies do not puncture cancer
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Biopsy is not infallible
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Biopsy has important
risks
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Biopsy can spread cancer
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Biopsy hurts
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Biopsy is expensive
(about USA $1000=)
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There are safer
alternatives with different approaches
Conclusion: The PSA gets
higher because of many conditions besides prostate
cancer. If they want you to have a prostate biopsy taken
because your PSA is high you should first find out what is
heightening your PSA and try solve it. If they can solve it
and the PSA normalizes, there will be no need to perform any
biopsy.
C.A.D. Color
Prostate Ultrasound with Urosonography detects most
conditions heightening the PSA and makes the prostate biopsy
unnecessary.
appointments
Dr. Gonzalo Díaz M. C.A.D. Color
Ultrasound - Telemedicine
Cl 73 10-10 Of 404 Bogotá, Colombia
Tel (571)2487018 - Mobile (57)3102536047
Free medical advice about Prostate, Male Urinary tract and
Genitalia
Instructions
- All fields are required
- The patient must be over 26 years old
- This form is limited to consultations about prostate, male urinary tract
and genitalia
- We will do our best to help you. However our advice depends on the
information provided by you so we are not liable for results
- We do not provide any information for conferences, works, assumed
issues, etc. We do not explain exams we have not recommended
- If you do not mention any symptom we understand you need preventive
advice
- Just write down your exams' conclusion, not the whole exam
- Your email will be subscribed to Health (inactive yet) which will send
one or two messages a month. You can leave the list whenever you want
- By submitting this form you agree to our Terms
of Service
- If you speak speak Spanish or Portuguese you might want to consult from
http://drgdiaz.com/eco/prostata/biopsiaprostata.shtml
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