PSA & CPPS
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lugnut
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PSA & CPPS
As I mentioned in another thread, my PSA began to climb over the last couple of years, causing my urologist to do a biopsy which, thank God, was negative. However, PSA levels and velocity will be monitored closely going forward. My question is: in your experience can/does chronic prostatitis / chronic pelvic pain syndrome result in elevation of PSA? Thanks.
Age: 54 | Onset Age:On and off for 20 years | Symptoms:Primary pain in groin, testicles, and perineum, less frequent in penile tip and suprapubic area. | Helped By: Heat applications, some stretches (though there may be more pain initially), meditation/relaxation, trigger point work. | Worsened By: Bowel movements, ejaculation, sitting. Jury is still out on PT/internal.
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webslave
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Re: PSA & CPPS
No, it does not.
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lugnut
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Re: PSA & CPPS
Webslave - I was doing some research. Check out #5 in the linked page below. What's interesting is that it includes "inflammation", not just infection. Hmmmm. Not that I would EVER ignore a PSA elevation!!!!
http://www.cancer.gov/cancertopics/fact ... ection/PSA
http://www.cancer.gov/cancertopics/fact ... ection/PSA
Age: 54 | Onset Age:On and off for 20 years | Symptoms:Primary pain in groin, testicles, and perineum, less frequent in penile tip and suprapubic area. | Helped By: Heat applications, some stretches (though there may be more pain initially), meditation/relaxation, trigger point work. | Worsened By: Bowel movements, ejaculation, sitting. Jury is still out on PT/internal.
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webslave
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Re: PSA & CPPS
PSA can rise in chronic bacterial prostatitis, or with BPH. You are in BPH territory at 53.
Good News! The great ProstaQ is BACK at last! You must try it.
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lugnut
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Re: PSA & CPPS
Sadly, yes. But things could be worse. It's odd - I am suffering with CPPS, but still somehow feel that my overall health is good. I have to be thankful for that. I truly believe that my condition is mostly about stress and where I put it. And that is something that we can do something about.
Age: 54 | Onset Age:On and off for 20 years | Symptoms:Primary pain in groin, testicles, and perineum, less frequent in penile tip and suprapubic area. | Helped By: Heat applications, some stretches (though there may be more pain initially), meditation/relaxation, trigger point work. | Worsened By: Bowel movements, ejaculation, sitting. Jury is still out on PT/internal.
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random321
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Re: PSA & CPPS
Couldn't PSA rise from any source of inflammation of the prostate including non-bacterial prostatitis? Like high DHT, or food allergies, etc. I thought the consensus here was that chronic bacterial prostatitis does not really exist and that chronic bacterial infections of the prostate are asymptomatic?
Age:24 | Onset Age:19 | Symptoms: frequent urination, slow flow, perineum pain, penis tip pain, sometimes lower and upper back pain and foot pain, erectile dysfunction, depression. | Helped By: QUERCETIN, Low carb diet, elimination diet, proper progesterone levels, hot baths | Worsened By: Increased DHT(dihydrotestosterone) from TRT, carbs/sugar, food allergies, not masturbating
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Jay
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Re: PSA & CPPS
Chronic bacterial prostatitis does exist, but it's a separate condition from chronic prostatitis / chronic pelvic pain syndrome (aka chronic abacterial prostatitis type III). It's also far less common, and can be detected via the usual methods. One potential cause is some sort of defect in the urinary tract. In any case, its presence is not a mystery, and you'd readily know if you had it.random321 wrote:Couldn't PSA rise from any source of inflammation of the prostate including non-bacterial prostatitis? Like high DHT, or food allergies, etc. I thought the consensus here was that chronic bacterial prostatitis does not really exist and that chronic bacterial infections of the prostate are asymptomatic?
I am not a physician. This is not medical advice. Consult your doctor!
Age: 26 Onset Age: 17 Symptoms: Shooting, nerve-like pains throughout the penis, which abruptly hit and leave. Testicular pain, perineum pain, burning/irritative urination, extended pain after ejaculation. Occasionally, some allodynia or ache in the coccyx/sacrum/thigh/buttocks/legs. Diagnosis: Pelvic floor dysfunction, degenerated lumbar disk, and mildly herniated lumbar disk. Helped By: Physical therapy, pain management doctor, hot baths, therapy pool, stretching regimen, breathing exercises, relaxation, distraction. Worsened By: Arousal/ejaculation (worst), constipation, panicking/obsessing, other triggers depend upon current symptoms. Tests/Prior Treatments: Too many antibiotics to count, multiple urine tests (all normal), testicular ultrasound (normal), bladder and renal ultrasound (normal), lumbar and pelvic MRI with and w/o contrast (revealed disk problems), Elavil 25mg (caused retention), Flomax 0.4mg.
Age: 26 Onset Age: 17 Symptoms: Shooting, nerve-like pains throughout the penis, which abruptly hit and leave. Testicular pain, perineum pain, burning/irritative urination, extended pain after ejaculation. Occasionally, some allodynia or ache in the coccyx/sacrum/thigh/buttocks/legs. Diagnosis: Pelvic floor dysfunction, degenerated lumbar disk, and mildly herniated lumbar disk. Helped By: Physical therapy, pain management doctor, hot baths, therapy pool, stretching regimen, breathing exercises, relaxation, distraction. Worsened By: Arousal/ejaculation (worst), constipation, panicking/obsessing, other triggers depend upon current symptoms. Tests/Prior Treatments: Too many antibiotics to count, multiple urine tests (all normal), testicular ultrasound (normal), bladder and renal ultrasound (normal), lumbar and pelvic MRI with and w/o contrast (revealed disk problems), Elavil 25mg (caused retention), Flomax 0.4mg.