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Hi Andy

So sorry to hear of your history.

Bad enough to suspect PC but, with the other things that have happened to you, I can't imagine how you must feel.

If your PTSD is on your notes, I would imagine the consultant and team, will already be aware. Perhaps you could just ask them if they are fully familiar with your history. Can't see how PTSD can impact PC ( happy to be proved wrong) so I feel the consultant is unlikely to delve too far.

For the biopsy, you won't have to tell anyone anything - just that you are very nervous about the procedure. I believe that the biopsy can be taken under general anesthetic, which may help you. 

The nurses on here are really good, and you could talk to them via the chat facility to preserve your identity.  You can call them too, if you like. They may have some suggestions.

Not sure if my thoughts help,but I sincerely hope they do.

Stuart

Hi Andy

just a thought, could you copy and paste what you have written here about your mental health and traumatic childhood? You could then print it out and hand it to the consultant at the start of your appointment?

best wishes and good luck!

Thank you that's a great idea,I will do that.Thanks for that !!

Thank you for your wisdom. It's a great benefit to me 

I wondered the same @ PTSD and it's effects on prostate cancer. There are some studies concluding there is an effect. I'm not sure if links are permitted on here so I will do it like this .There was a study "Risk factors for incident prostate cancer in a cohort of world trade centre responders" by the National Library of Medicine .

 andyc69  Yes, you can post links here. I think this is the report you are referring to:

pubmed.ncbi.nlm.nih.gov/.../

Hi Andy

Very interesting report - looks like I was wrong.

Stuart

TBH I assumed the same as you but as someone that has PTSD and bipolar ,I did a google search.Several studies concluding similar outcomes came up but that one seem the most credible and validated the other studies.Perhaps I can add a different perspective and help others with similar mental health diagnosis. 

I received a letter from the consultant after my consultation .Most of what was contained within the letter , I cannot remember. Not because the consultant didn't give the information during the consultation but because of the way my state of mind is during such consultations and hospital visits .I contacted my mental health team and they explained normally I would be given an advocate to assist me, however the waiting list for such a service is long. I came across an organisation called VoiceAbility, their website is :https://www.voiceability.org/   it may help others with SMI (severe mental illnesses).They have been very helpful and prompt in their replies .

Diagnoisis:                    Two-week wait referral for a raised PSA reading of 18.4.

I .

Past Medical

History:                         Post traumatic stress disorder. Erectile dysfunction (ED). Bi-polar disorder. IBS.

I reviewed this fifty-nine-year-old gentleman this morning in a face to face clinic appointment in the presence of XXXXX our Urology CNS. XXXXXX  has been referred to urology via the two-week wait suspected prostate cancer pathway and triaged direct to MRI scan of the prostate gland.

Review of the MRI images in our urology multi-disciplinary team meeting (MDT) on the 22^nd November confirmed a PIRADS 5 lesion in the right peripheral zone with possible capsular breach and involvement of the right neurovascular bundle. There was also evidence of multiple pelvic side-wall nodes and a left gro'in node, making this clinically T3a,N1, if the diagnosis of prostate cancer is confirmed on biopsies.

The MDT advice was to offer LATP prostate biopsies and a CT scan of the chest, abdomen & pelvis and a bone scan to complete staging.

XXXXXX reports recurrent UTls, but no bone pain. His fluid intake is generally good with good hydration and no caffeinated drinks.

On clinical examination (CNS present) DRE revealed a hard feeling right lobe of the prostate gland, clinically T3.

I have explained the above to XXXXX and booked a CT scan of the chest, abdomen & pelvis and a bone scan to complete his staging investigations. LATP biopsies have been booked and XXXXX  has been given the BAUS information booklet about the procedure. He has also been given a blood test request form for pre-CT U & E and a blood test request form for a PSA check (to be done no soon·er than ten days from today). We will update both you and the patient following review of the histology from

-the biopsies at MDTr -