PIRADS score 4, PSA 5.8

Hi sunnyjim, We have had members on here with worse looking figures than yours who have been found clear on biopsy.

Given they have identified 2 legions they should be able to target these and give you a definitive answer on whether its prostate cancer or not. If it is they will advise the Gleason score which will be an X + Y number. where X and Y are between 3 and 5 ( lower is better and the first number is the more predominant grade.) This plus the staging and location will help them determine suitable treatments. Good luck

Thanks for all the replies, I just noted the PIRADS score in the title was 5 whereas it should have been 4, so I have edited that to avoid any doubt.

I had the biopsy done last Friday lunchtime, the surgeon used fusion guided ultrasound, whereby the ultrasound probe was inserted into the rectum and the image merged with the images from the MRI scan taken the previous week.

This was all done under local anesthesia with the biopsies being taken through the transperineal  area. A nurse first applied a numbing gel and then I received 2 numbing injections, one of which was directly into the prostate.

A total of 16 biopsies were taken, 4 from the area of interest and 6 either side, my lesions are in the transitional zone anterior region. The staff were very good and kept me talking throughout to distract me.

I wouldn't say the procedure is painful but it's certainly uncomfortable and I'm still sore 2 days later.

I haven't had any blood in my urine but haven't tried ejeculating yet.

At the end of the procedure, I was shown the combined MRI and ultrasound, I could see exactly where the needles had taken samples.

I was a bit shocked to be able to see the lesion on screen, having been mapped out by the surgeon and fusion software.

Have been taking this weekend very easy and just relaxing, not feeling up to doing much and anxious as to what the biopsy samples will reveal.

Edited by member 20 Mar 2022 at 13:03  | Reason: Not specified

Hi Esteban,

I read through your blog and can see you have gone through a lot, I can only sympathize and hope you are now cleared of disease.

The hormone therapy seems to have a negative effect emotionally and I fully expect that I would respond in a similar way, if they were prescribed. I love my red wine, so wouldn't be too pleased about cutting down.

I don't know how my diagnosis will play out and I'm now anxiously waiting for the biopsy results.

Hi.

No, not really. Mine lasted exactly 13 minutes. I recorded it.

Take notes....ask questions....what does this mean....what choices do I have . .who can i contact  etc.

Be kind to yourself and enjoy the golden zones....those times in-between anything happening.

I've got a blood test (FBC and PSA) next week but I'm not worried - now .

No, right now I'm sitting on an secluded, hard to get to beach, naked and enjoying the sun!

Keep us posted buddy....

Ok I'll pm you 

What was the outcome Sunnyjim, my husband in a similar situation, waiting on biopsy results now?

Thanks for your reply, hopefully you're well on the way to recovery now. So I presume from your reply cancer was confirmed. My husband had a PSA of 4.7, then 3.2 a month later, and dre showed enlarged prostate. BPH was presumed but then MRI showed 2 "growths" which were given a "low 4 on pi-rads scale". I know there's a high chance it's cancer but guess we won't know for sure until biopsy results come back, the waiting game is the worse part, I think.