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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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PSA Over 18, No Lumps On Prostrate, Biopsy Revealed Cancer. Scheduled For Prostatectomy In A Month. Safe To Fly Out For Several Days For Personal Reason?

I am a 20% disabled veteran and qualify for VA health. My PSA is over 18, no lumps on prostate but biopsy reviewed I have cancer. I have chosen to have a prostatectomy that is scheduled for removal August 20th.

I have left the message via phone and not gotten a response:

My one niece is getting married September 21 in California & I live in Colorado. Would it be reasonable to fly out, staying for several days to attend her wedding?
Fri, 26 Jul 2013
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,

Prostate cancer is known to metastasize to the bones especially the vertebral column.
The PSA level above 18 ng/ml is a high value.
The amount of PSA per unit weight of prostate, rate of increase in PSA levels (PSA velocity) are more important than absolute PSA value.
get these parameters done besides total PSA levels.
It is advisable to get cancer prostate as soon as possible since the cancer may spread to distant sites like vertebrae.
A high PSA density and rising PSA velocity suggests possibility to early metastasis.
So, get operated for cancer prostate.

Thanks and take care
Dr Shailja P Wahal

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General & Family Physician,  Dr. Jose Ignacio Artero Munoz's  Response
Hello. Is important to know that an adverse effect-reversible-of prostatectomy is urinary incontinence, will be necessary to use urinary incontinence pads and that can cause discomfort;but if your overall is good and his vital signs are right, usually a month after surgical intervention the patient is recovered and therefore you could fly and attend the wedding of her niece.
I wish you good health.
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PSA Over 18, No Lumps On Prostrate, Biopsy Revealed Cancer. Scheduled For Prostatectomy In A Month. Safe To Fly Out For Several Days For Personal Reason?

Hello and welcome to HCM, Prostate cancer is known to metastasize to the bones especially the vertebral column. The PSA level above 18 ng/ml is a high value. The amount of PSA per unit weight of prostate, rate of increase in PSA levels (PSA velocity) are more important than absolute PSA value. get these parameters done besides total PSA levels. It is advisable to get cancer prostate as soon as possible since the cancer may spread to distant sites like vertebrae. A high PSA density and rising PSA velocity suggests possibility to early metastasis. So, get operated for cancer prostate. Thanks and take care Dr Shailja P Wahal