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Doctor insights on: Biopsy Bph

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Dr. James Krick
307 doctors shared insights

Bph (Definition)

BPH is abbrev of benign prostate hyperplasia, which is a general, confusing, clinical term for men's trouble to void although it is a pathological term to describe microscopic increase in number & size of glandular cells in the prostate, starting as early as age 30. For better use, LUTS is proposed to replace BPH. More? ...Read more


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Coud there be another treatment for benign prostatic hyperplasia (bph) besides doxazosin and flomax (tamsulosin)?

Coud there be another treatment for benign prostatic hyperplasia (bph) besides doxazosin and flomax (tamsulosin)?

BPH: Treatments for BPH fall into two categories; medical and surgical. Medical therapy includes Alpha blocker medications to improve urine flow and 5-alpha reductase inhibitors to shrink the gland. The surgical options include thermal or laser destruction of prostatic tissue or transurthral resection of prostaic tissue (turp). The "best" treatment is a very individual thing. ...Read more

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What causes PSA levels to increase after prostate removal due to prostate gland enlargement (benign prostatic hyperplasia)?

What causes PSA levels to increase after prostate removal due to prostate gland enlargement (benign prostatic hyperplasia)?

Increased levels of prostate-specific antigen (PSA) in your blood can be a sign of prostate cancer: However, cancer is just one of several possible causes of increased PSA. Prostate tissue normally releases small amounts of PSA into your blood. When the prostate grows, PSA levels increase. When the entire prostate is removed, PSA levels fall close to zero. Most procedures used to treat an enlarged prostate remove only part of the prostate, which partially decreases PSA levels. After any enlarged prostate procedure, a number of factors can cause PSA levels to go up again. For example: Prostate cancer. , Recurrent benign prostate growth. , Inflammation of prostate tissue (prostatitis). . If you have increasing PSA levels after surgery for enlarged prostate, your doctor might recommend: A wait-and-see approach. , Medication. , Additional tests. ...Read more

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Is. Turp done to fix prostate cancer?

Is. Turp done to fix prostate cancer?

No: TURP will make the urine have a stronger flow rate but will not remove the cancer. I assume you have received treatment for the cancer with external beam radiationor seed implants.I hope this answers your quesion. ...Read more

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A psa 6.9 is biopsy needed?

A psa  6.9 is biopsy needed?

Maybe: While a psa level of 6.9 might suggest the need for a biopsy, factors such as a patients age, other medical conditions, life expectancy, previous psa values, the presence of lower urinary tract symptoms that might suggest prostate infection or inflammation, feel of the prostate on palpation, family history of prostate cancer and patient desire to have the biopsy all factor into this decision. ...Read more

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Breast tumor biopsy revealed 'canercous change'?

Breast tumor biopsy revealed 'canercous change'?

Need more info: "cancerous change" can mean many things. There are different pre-cancerous changes seen on breast biopsies, such as ADH (vasopressin) or alh (atypical ductal or atypical lobular hyperplasia). There are early cancers called dcis or lcis (ductal carcinoma in situ or lobular carcinoma in situ). Hopefully this is nothing, but we need more information. Make sure to follow-up with your doctor! ...Read more

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How is benign prostatic hyperplasia diagnosed by digital rectal examination?

How is benign prostatic hyperplasia diagnosed by digital rectal examination?

Consistency: Benign enlargement the gland gets enlarged almost 3 finger size, may not able to reach upper end of prostate, the central grove will disappears, consistency is not hard like malignancy, your urologist is an expert who has knowledge to distinguish from other conditions, finally if needed will do a biopsy to rule out cancer. ...Read more

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Are prostate biopsies dangerous?

Are prostate biopsies dangerous?

Maybe: Prostate biopsies are very safe but there are increasing reports recently of higher resistance rates to the antibiotics we use prior to the biopsy. This means a potentially higher rate of infection but overall the incidence is still very small. The most common problem after a prostate biopsy is bleeding and infection but is usually not lifeb threatening. ...Read more

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Can a 24 core prostate cancer biopsy cause impotence?

Can a 24 core prostate cancer biopsy cause impotence?

See below: Prostate biopsies are done under ultrasound guidance and usually 6-12 cores are obtained (variations exist but 24 cores be unusual - did you mean gauge?). Usual complications are blood in urine or ejaculate for few days, local pain and discomfort. Infection may occur uncommonly. Rarely injury to blood bessel with internal bleeding has been reported. Impotence would be very rare if at all reported. ...Read more

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enlarged prostate/ luts, started flomax (tamsulosin) and proscar. 4 episododes of dark stained underwear. urine test done. is catscan and cystoscopy needed? .6p

 enlarged prostate/ luts,  started flomax (tamsulosin) and proscar.  4 episododes of dark stained underwear. urine test done. is catscan and cystoscopy needed? .6p

Possible prostatitis: An enlarged prostate with staining of underwear could be due to prostatitis. Is there discomfort on urination? What did the urine test show? Be sure to get a urinalysis with microscopic exam and a urine culture. Get a PSA test to rule out prostate cancer. If these don't give the answer, get a cystoscopy and possibly catscan. Feel free to consult me on HealthTap if you want to discuss further. ...Read more

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How can you distinguish between prostate cancer and benign prostatic hyperplasia?

How can you distinguish between prostate cancer and benign prostatic hyperplasia?

Can't: for the most part, prostate cancer has no real symptoms. Many people with benign enlargement of the prostate develop prostate cancer and many people without enlargement of the prostate also develop prostate cancer. your best defense is to see a urologist and have annual examination and PSA screening. ...Read more

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Prostate cancer treatment?

Prostate cancer treatment?

First question: Is whether treatment is necessary, depends on gleason score and psa. Treatment may not add value to you. Watchful waiting follows your psa #, rate of rise. If your gl >/= 7, psa > 10ng/ml, best option is radiotherapy, +/- anti-hormone. Get a few opinions. Do not act in haste. ...Read more

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Stage iii-b colon cancer removed surgically. Suspected liver lesion resected and analyzed with not malignancy. Is kras analysis needed for recurrence?

Stage iii-b colon cancer removed surgically. Suspected liver lesion resected and analyzed with not malignancy. Is kras analysis needed for recurrence?

Possibly: For initial treatment after surgery, you shouldn't need to get kras testing. However, if this is metastatic or recurrent colon cancer, then it may help to determine if egfr based therapies like Cetuximab can help (they only work for kras "wild type"). Remember that if you do recur (god forbid), management may be different at that future time! not something to worry about with your current story. ...Read more

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My father-in-law had a recent ultrasound of prostate and psa test. His ultrasound showed enlarged prostate 104grams and psa 6.7. Is biopsy needed?

My father-in-law had a recent ultrasound of prostate and psa test. His ultrasound showed enlarged prostate 104grams and psa 6.7. Is biopsy needed?

Much debate keeps on: Before diving into prostate biopsy, the specific info on age, medical background, family history, finding of digital rectal exam (DRE) on prostate, urinalysis, etc. over time would be helpful. To gain a glimpse on much conflicting studies, confusion, and debate on how to use PSA and decide when to biopsy, take time & patience to review articles listed in http://formefirst.com/FreeInfoProstate.html ...Read more

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What is the TURP procedure for prostate cancer?

Palliative / partial: Trans urethral resection of prostate is primarily used for BPH or benign disease, however resected material may contain some previously unrecognized cancerous tissus. Also, some urologists perform a limited TURP for patients with prostate cancer who are not candidates for a radical prostatectomy, are treated with radiation +/or hormonal thera[py and still require relief of obstruction. ...Read more

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Does finasteride cure prostate enlargement?

Does finasteride cure prostate enlargement?

Cure? unclear: Not sure if it is a cure -- it will shrink the prostate while you are taking it by blocking an ezyme some men's prostates will continue to grow despite the medication and need surgery. ...Read more

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How accurate is an office hysteroscopy endometrial biopsy &polypectomy in showing cancer or hyperplasia?

How accurate is an office hysteroscopy endometrial biopsy &polypectomy  in showing cancer or hyperplasia?

Not entirely - : To make these diagnoses - of cancer and hyperplasia - a pathologist really must examine slides of biopsies or smears. These diagnoses cannot be made with any certainty without microscopic examination. ...Read more

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Why would a thyroidectomy final pathology report (not fna) be inconclusive (goiter vs follicular neoplasm)?

Why would a thyroidectomy final pathology report (not fna) be inconclusive (goiter vs follicular neoplasm)?

Second opinion: If after a thyroidectomy, your local pathologist still can't differentiate between goiter or cancer ask your doc to request the pathologist to send the tissue to a bigger referral institution for a second opinion. ...Read more

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Is testicular removal a cure for prostate cancer?

Is testicular removal a cure for prostate cancer?

No.: Testicular removal, or surgical castration, is not a cure for prostate cancer. It is used as a type of androgen deprivation therapy (adt) in cases where the cancer has spread, or metastasized. Adt aims to deprive the cancer of testosterone, which fuels its progression and spread. Often, adt is not surgical but accomplished through medication. ...Read more

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Is prostate surgery the best decision for prostate cancer?

Is prostate surgery the best decision for prostate cancer?

It depends: There are several approaches for the treatment of localized prostate. You have choice. Radiation and surgical removal of the prostate ae the standards of care. You have choice. A discussion with a radiation oncologist and a urologist would be appropriate. ...Read more

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Dr. Michael Gabor
2 doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more


Dr. Michael Michaels
166 doctors shared insights

Benign Prostatic Hyperplasia (Definition)

Benign prostatic hyperplasia (hypertrophy) is an enlargement of the prostate gland in males that can constrict the male urethra leading to retention of urine, feelings of urgency, etc. If severe enough, it can be treated with ...Read more