I have just returned from meeting a consultant to review the findings of my transperineal biopsy that was completed on 24 November. I had convinced myself that the result would be positive & reasoned that someone would have phoned me before the Christmas holiday period if otherwise. I was surprised to learn that, despite 39 'cores' having been taken, no cancer was, once again, 'found'.
This is a 'repeat' of my first biopsy in June 2020, since when my PSA has risen from 11.0 to 19.2 - I am on finasteride so my 'corrected PSA' is 38.4.
I am 75 - the consultant has suggested a further PSA in six months, after which I should either try & 'forget' about the risk of prostate cancer, or move to an annual PSA. Both of my biopsies were under general anaesthetic with the recent one being followed by Acute Urinary Retention a few hours after I had been discharged. The consultant was quite categoric in advising that I would not be biopsied again.
I would like to be able to 'park' the risk of prostate cancer but it is something that I have lived with for several years. Should I take the view that I am now of such an 'age' that it no longer matters & that if I were to develop am problem in the future it would be managed, perhaps using hormone therapy, rather than an attempt to cure ? I am sure that I am not the first to be faced with this dilemma & would appreciate all thoughts as to the way forward. Thanks