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    Watchful waiting
    An_243566 posted:
    Age 62. Second biopsy in 6 years.Recent biopsy revealed 1 spot of 22 areas examined. Gleason = 6, PSA = 5.1 but upwardly trending. Taking Avodart and encouraged by article re: positive outcomes of this approach. The risks associated w/ aggressive treatment options vs. watchful waiting seem too great at this stage. My wife of 34 years agrees, as well as my urologist and PCP.
    Basir U Tareen, MD responded:
    I think actived surveillance is an acceptable and appropriate approach to your disease as long as you are followed closely with a defined plan. There are a number of different variations for active surveillance protocols.

    Most urologists would have at least one biopsy within a year of the initial diagnosis, regular PSA checks (every 3-4 months), and /- local imaging such as MRI.

    In your case, the Avodart should help follow the PSA as well.

    Best of luck,
    Dr. Tareen
    PapaSmirk replied to Basir U Tareen, MD's response:
    Thanks for your reply, Doctor. My urologist is managing this exactly as you have recommended. My next appt is early May; I'll have a PSA check 1 week before I see him. He did say that MRI will be used as well. Again, thanks for your reply.
    PapaSmirk replied to Basir U Tareen, MD's response:
    Thanks again, Doctor. I failed to mention that I was hospitalized for 4 days w/ an infection 6 days after my biopsy. My white blood cell count was 27. That was not fun. My urologist is w/ Spectrum Health, which is the largest health care provider here in West Michigan.

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