Very worried about referral for high PSA

Chris

An MRI scan cannot accurately differentiate between benign and cancerous tissue, but some experienced doctors may have an opinion.

I would suspect you will get a biopsy, personally if I have a nodule, I would definitely want one anyway to be sure what it was!

In my case there were 2 different types of biopsy;

1. TRUS - where an ultrasound probe with attached needle is inserted in the anus and after a local anaesthetic, the needle punctures the bowel wall into the prostate to gather samples using ultrasound to guide the needle. There is a small risk of sepsis with this procedure so they put you on anti-biotics. 

2. Trans perenial Template - where an ultrasound probe is again inserted into the anus, but the biopsies are taken via a template mounted between your legs in the area between the anus and the back of the scrotum. The needles are guided through the tissue by ultrasound and your MRI scan data, so are more accurately targeted than TRUS. I had this. Mine was a day case. this is done under general anaesthetic. I had 32 biopsies taken. I was admitted at 8AM and went home at 2PM (I was first on the list) All I had to do was to be able to pass an set amount of urine to be discharged.

I had no post procedural pain, but had to keep off my bike for 2 weeks! You can get blood in your urine and semen after this procedure.

Edited by member 10 May 2018 at 12:22  | Reason: Not specified

Another change of plans. Just had another phone call from the hospital. Now MRI scan will be (as above) next Wednesday lunchtime, and the biopsy at 5:30pm the next day (I am assured they will have the MRI results.). Can't say I'm looking forward to the biopsy one bit, but at least I really couldn't ask for things to happen any more swiftly!

Chris

My experience was that the thought of the biopsy was worse than the actual event. All over in a few minutes, back to work the next day, a bit of blood in the urine and pink semen for a few days.

Thanks Chris

Chris

Edited by member 11 May 2018 at 17:38  | Reason: Not specified

Hi Chris reading through your posts you seem to mirror what happened to me, although my PSA was higher. I was diagnosed with Cancer last December following a biopsy and then offered various treatment choices, I went through various options including radio therapy, brachytherapy or surgery. After discussions with the various health professionals I opted for radical laparoscopic prostatectomy as of all the options this gave me the best outcome. Now I wont try to claim that this will be best for you but so far it has proved to be very good for me. There are downsides of course, ED and incontinence being the most obvious, but both can be overcome with patience and help from your specialist nurses and doctors, and of course with help from family. There are other obstacles that have to be overcome but my message to you is never give up hope and just keep on living as you always have. When I was first diagnosed I was devastated and began to feel sorry for myself but with the support of my wife and family and all the health professionals I feel so much better and positive and a lot less negative. Good luck to you I hope everything works out well for you.

Hi Chris,

Biopsy can be uncomfortable but does not take to long. I opted to have mine under general anesthetic and was glad I did as I was in and out in no time. A little blood in the urine and some small bleeding from my bottom but other than that no real pain or problems. It is not as scary as it sounds. So good luck to you hope it all goes well.

Ants 

Hi Chris,

I had a friend who had similar problems that you have described and his kidney abnormality was down to an enlarged prostate not a cancerous one. It might also be that you have kidney stones which can also cause raised PSA levels. Here's hoping for good news.

Ants

That would be the ideal outcome. Fingers crossed you're right!

Still quite sore today after the biopsy and I feel like I'm having to go to the loo every 10 minutes! I guess the biopsy has bruised my prostate and it's swollen as a result. Whereas last night I was passing what looked like a stream of blood, today it's just a bit of blood at the start and then it's clear, so hopefully that's a sign of healing.

I'm feeling a little more hopeful today that the kidney abnormality may perhaps turn out to be good news rather than bad. Just have to wait and see!

Chris