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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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