38 Years Old, Low PSA, MRI Showing Shadow, Painful Groan & Back

Most likely psychosomatic. Someone has questioned whether there is something wrong with your prostate so your brain is imagining all sorts of twangs.

Blood in your semen can be a sign of prostate infection which would not show on a urine dip. Pain in the testicles or groin is not usually associated with prostate cancer. The sooner the biopsy is done, the quicker you will know where you are.

I am White, British.

If you had a mpMRI scan, a multi-parametric one, it gives a PIRAD score. My score was 5, meaning that clinically significant cancer was likely to be found upon biopsy. You could check to see what sort of MRI scan you had and what your pirad score was.

Ulsterman

At my biopsy, my urologist told me he fully expected to find cancer in the samples taken based on what he had seen in the mpMRI scan.

According to one website I was looking at, PIRAD 3 is indeterminate, 4 probably malignant and 5 highly likely.

Walter

Good luck with your biopsy today Rich hope you get the all clear.

I am having to wait to the 5th of June for mine and then another week to get for the results as a consequence of all this waiting I am now absolutely terrified of having the biopsy and then of hearing bad news afterwards.

The only thing is that apparently an mpMRI followed by a template biopsy is overall 93% accurate at finding the cancer if there is any there to find.

I have been told that my mpMRI scan was scored at 3, (indeterminate) and has revealed a lesion on my prostate gland so was therefore recommended to have further investigation via a biopsy.

like yours my PSA level went down from it's initial high of 6.5 to 4.5 but seeing as I am only 52 even at it's lower level it is still a bit too high for someone my age.

Some people have said on here that it is the not knowing and waiting in the dark that is the hardest thing to cope with and I would agree with this based on my own experience from when the GP surgery first phoned me to tell me I needed to see a doctor within a week to when I get the results of the biopsy on June 12 it will be nearly 4 months and during this time I have done nothing but worry.

It's such a shame I am having to wait so long for a biopsy but only one consultant at the hospital does the transperineal guided biopsy that I have been put in for.

Having this sword of damocles hanging over my head like this this has all had a massive impact on mental health with every ache or pain being interpreted of further evidence of cancer.

Edited by member 02 May 2018 at 10:35  | Reason: Not specified

Hi,

It’s strange how you have commented on my post from 4 years ago, as I only came back on to the forum last week.

Since my biopsy in 2018, which was clear, everything for me has been fairly quite. I’ve had my 6 monthly check for my PSA, which has always been around 3. 

Over the last few months, I have been experiencing pelvis, groin & back ache again, which to be honest, I didn’t link to any prostate problems. I went to the Doc in March and he said it’s more than likely muscular and will refer me for an X-ray (still waiting). Thinking back, this time my pain is worse than in 2018 and does keep me awake at night.

Last week I went for my 6 month PSA check. Two days later the Doc called and said he is referring me back to urology as my PSA is 9.2. I’m a bit nervous, as you can imagine. I will hopefully get to see the consultant in the next week or so and start to get some answers. 

I will keep you posted on what they plan. Hope your hubby is OK?

Rich