Finally got the pathology report and 6 samples were taken from each lobe with a TRUS procedure. The results are:
LEFT LOBE, CORE BIOPSY:
1. APEX: BENIGN PROSTATE WITH CHRONIC PROSTATITIS
2. MID: ATYPICAL SMALL ACINAR PROLIFERATION
3. BASE: BENIGN PROSTATE
RIGHT LOBE, CORE BIOPSY:
1. APEX: BENIGN PROSTATE
2. MID: BENIGN PROSTATE WITH CHRONIC PROSTATITIS
3. BASE: BENIGN PROSTATE WITH CHRONIC PROSTATITIS
PSA 39.6 (H) 03/10/2021
PSA 15.6 (H) 03/04/2021
PSA 8.44 (H) 05/25/2012
Right now, all we have is a PSA test scheduled in June. No commitment to biopsy until the PSA tests in June come back and no commitment on type of biopsy. I also asked if an MRI prior to the next biopsy is a good idea and received a let's wait for the PSA results and see.
I read that the good news with ASAP is that if it turns out to be cancer, it's not typically life threatening.
I like to plan for the worst and hope for the best, so my questions are, for the group here:
1) Does waiting for the next PSA to take next steps make sense?
2) If the PSA comes back elevated again, should we ask for an MRI prior to the biopsy? Sounds like the biopsy causes damage that makes an immediate MRI not useful.
3) Anyone from the U.S. on this board and can let me know if you'd had success asking for a Transperineal instead of TRUS biopsy? From the people who responded already, seems like Transperineal is the way to go, but I just don't know how to go about pushing the medical establishment in the U.S. to go this route.