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Renal Cell Carcinoma

newbie8

Member
Hi, I have a question. My CT scan found me with highly suspicious renal cell carcinoma. At the same time, I was found with low levels of testosterone and was given Enclomiphene which I have not touched. What would be recommended in this situation?
 
probably talking to your urologist about this would be the best bet,. i am guessing you were placed on enclomiphene by one of those online clinics before your diagnosis possibly? are they planning for surgical intervention with a robotic partial nephrectomy or further imaging with MRI? what state do you live in?
 
lanky said:
probably talking to your urologist about this would be the best bet,. i am guessing you were placed on enclomiphene by one of those online clinics before your diagnosis possibly? are they planning for surgical intervention with a robotic partial nephrectomy or further imaging with MRI? what state do you live in?
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Exactly. The same day I did an MRI, I had my t level checked at this clinic and the very next day, the results appeared and was asked to do further imaging based on my CT scan. Urologist said my t levels are good at 409 but the clinic said it's borderline and should be taking them which I have not due to my recent CT scan results. I am in NY.
 
newbie8 said:
Exactly. The same day I did an MRI, I had my t level checked at this clinic and the very next day, the results appeared and was asked to do further imaging based on my CT scan. Urologist said my t levels are good at 409 but the clinic said it's borderline and should be taking them which I have not due to my recent CT scan results. I am in NY.
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409 is kind of borderline, most urology practices will not treat until you are around 350ng/dl or less on at least two early morning lab draws including LH and FSH and prolactin testing. trt clinics will generally start to treat at a higher number especially if you are symptomatic. unfortunately if you disclose your recent diagnosis to the trt clinic they will "wipe their hands clean" and probably defer you to your urologist which you already mentioned will not treat for those numbers. at this point your urologists main concern is the renal cell carcinoma. not all urologist do this type of surgery, he/she will probably have his colleague the "robotics guy" ,if he is not the robotics guy himself, meet with you to talk about treatment. generally speaking the nephrectomy patients do pretty well post op . usually 5-7 small incisions and maybe a small drain that resembles a clear mini football that they will take out in a day or two after surgery in your hospital room(takes 1-2 seconds to take out), you will have a urinary catheter for maybe 1-3 days if you do well, your biggest complaint will probably not be the incision or abdominal pain but the urinary catheter giving you the sensation you need to pee even though your bladder is empty. they generally like to get you up and walking around the same day of surgery or at least up to a recliner chair unless you are a late day OR case. i am guessing you are in your 50's? i will be surprised if you say your are in your 40's.
 
lanky said:
409 is kind of borderline, most urology practices will not treat until you are around 350ng/dl or less on at least two early morning lab draws including LH and FSH and prolactin testing. trt clinics will generally start to treat at a higher number especially if you are symptomatic. unfortunately if you disclose your recent diagnosis to the trt clinic they will "wipe their hands clean" and probably defer you to your urologist which you already mentioned will not treat for those numbers. at this point your urologists main concern is the renal cell carcinoma. not all urologist do this type of surgery, he/she will probably have his colleague the "robotics guy" ,if he is not the robotics guy himself, meet with you to talk about treatment. generally speaking the nephrectomy patients do pretty well post op . usually 5-7 small incisions and maybe a small drain that resembles a clear mini football that they will take out in a day or two after surgery in your hospital room(takes 1-2 seconds to take out), you will have a urinary catheter for maybe 1-3 days if you do well, your biggest complaint will probably not be the incision or abdominal pain but the urinary catheter giving you the sensation you need to pee even though your bladder is empty. they generally like to get you up and walking around the same day of surgery or at least up to a recliner chair unless you are a late day OR case. i am guessing you are in your 50's? i will be surprised if you say your are in your 40's.
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I am in my early 40's. Why do you say that if you don't mind me asking?
 
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