Prostatitis==>Prostate Cancer?

[neis]

My long journey with prostatitis and seeking cause/treatment has culminated in stage T2b prostate cancer. I went back to Dr. Bahn for analysis because I felt things were changing and my psa had risen to 3.6. Digital exam resulted in finding tumor. 10 core sample biopsy increased my prostate pain and burning significantly. I'm personally conviced, for my case, my prostatitis has to do with nothing but my prostate. Why did I go from prostatitis to prostate cancer? Coincidence? My ejaculate never changed from yellow/brown back to normal after all these years telling me inflammation never resolved. So does chronic inflammation of the prostate lead to cancer in some? Inference only until proven otherwise. I'll likely be having focal cryotherapy or full prostatectomy. Steve

[Caedar]

Probably a coincidence. Prostatitis, despite its name, often has nothing to do with inflammation of the prostate.

[webslave]

https://ucpps.men/prost ... te-cancer/

[neis]

Interesting study

http://www.hopkinsmedicine.org/news/med ... ate_cancer

[webslave]

They found that 86.2 percent of the prostate cancer patients had at least one tissue sample with signs of inflammation, compared to 78.2 percent of men without cancer.

Those are not statistically significant findings.

Moreover, none of the men in the study had CPPS. Inflammation in the prostate is Prostatitis Cat IV (asymptomatic inflammation).

[neis]

I don't understand this finding of theirs given the 8% difference. Personally I've never had anything but perineal pain after UTI/prostatitis, so have always suspected I fall into prostate issue not CPPS. Who knows...after all these years it still seems like needle in wrong haystack search.

*Men with chronic inflammation in non-cancerous prostate tissue may have nearly twice the risk of actually having prostate cancer*

[webslave]

What is your age? Prostate cancer becomes more common after age 60.

prostate-cancer.png

[neis]

54. Prostatitis for 10 years prior...Where do they come up with the doubled risk statement?

[webslave]

Firstly, how do you know your prostate is inflamed, histologically speaking? Have you had a biopsy that shows microscopic inflammation? Most men with prostatitis of the chronic pelvic pain variety do not have such inflammation.

Moreover, when they say the risk doubles, it means the risk (for men with inflammation found by microscope, which is asymptomatic) goes from ~14% in a lifetime to around ~28% chance (because approximately 14% of men will be diagnosed with prostate cancer at some point during their lifetime).

5 year survival rate for treated prostate cancer is about 99% as well. Most men with this cancer die of old age (median age at death for men with prostate cancer is 80).

[neis]

Yes, biopsy report noted that. Mine is localised to tumor on one side. Really no way to know if related to prostatitis or age/genes/environment. Having a 3T MP MRI this week to stage better. HIFU and focal laser ablation are the latest and greatest that keep prostate intact with no radiation.

[neis]

3T Multi-Parametric MRI confirmed 1.2 cc tumor on right side with no extension outside prostate. I had MRI guided focal HIFU (high intensity focused ultrasound) last Friday with Dr. Stephen Scionti in Sarasota Florida. Should be good for a long time now. With diet/lifestyle changes, and routine PSA checks I should be able to stay on top of any cancer that may appear again. Annual MRI will be necessary as well. The procedure involved inserting a large probe into rectum which triggered a lot of post op rectal spasms that I still have today. I also have a very sore ridge that runs from base of penis into the perineum. Massage helps it. Any help identifying the name of this area and specific trigger point massage tricks appreciated.

[webslave]

Any help identifying the name of this area

Bulbospongiosus muscle

[neis]

6 weeks since HIFU and my perineum pain on sitting is gone. Increased burning is the reason I went to Dr Bahn in October. Post cancer treatment first few weeks I had perineal discomfort, restricted urination, and painful ejaculation. I can't remember last time I could urinate such volume, ejaculation is normal, and most interesting is sitting and lying (on sacral area) pain is gone. I had been using Vics Vaporub to mask burning for the last year, and haven't needed it for the last few weeks. Was my tumor responsible? Pressure on surrounding nerves? Feel good whatever the reason.

[neis]

PSA at 2.0....so far so good with HIFU.