I thought I would give an update on progress, but my previous post was quite lengthy with replies so I thought I would start again. I have been having urination problems for 9 years and eventually after many visits to the GP I was given a PSA test last year. A PSA of 8.9 resulted in referral to urology and a TRUS biopsy. Result, negative for cancer but high grade PIN in one core so followup PSA test and consultation arranged. PSA raised to 14.7 in September, refereed for MRI scan. MRI showed left peripheral indeterminate lesion – rated 2, probably not cancer. Two further PSA tests showed increase to 15 so template biopsy carried out in April.
For anyone about to undergo a template biopsy, I found it was not as bad as I feared. Done as a day case under general anesthetic. There was some discomfort around the perineum for a few days, but nothing bad. Worst side effect was as a result of the catheter that was used during the procedure. It was removed before I came around and I was able to urinate OK, but because of the pain meds I had been given there was no discomfort until the evening. When I urinated, all I can describe it as feeling like I was peeing glass, it really stung and did this for a day or so but gradually eased off. I was peeing blood for around two weeks and there is still blood in the semen after a month but no other side effects.
Just had my results from the biopsy today which are very uninformative:
"I am pleased to inform you that your recent prostate biopsies are normal. We have therefore discharged you back to your GP. We would suggest that you continue to have your PSA checked every 6 months which will involve you making an appointment at the GP practice to have the blood test taken. If your PSA remains elevated, your GP should refer you back to us."
So, my PSA is probably still well into double figures with no explanation for it, no mention of PIN this time. It is probably good news, but I would have liked a bit more information. I should be relieved, but given the significantly elevated PSA, I am still concerned although the GP and Urologist don't appear to be. I will arrange for a follow up PSA test in July (six months after my last one and 3 months after the biopsy) and take it from there.