Advice on results

There is not too much information to go on there. I am going to take a guess the category 3 means a PIRADS score of 3. This is a scale which runs from 1 to 5. A score of 5 would mean cancer quite likely, and a score of 1 means cancer unlikely. So 3 is about the middle.

I'm going to assume you meant PSA not PDA. 

PSA is not a very good test of cancer, and people with big prostates can have a high PSA just because the prostate is big. By taking the blood PSA and dividing by the prostate volume, you can get the PSA density. A value of 0.1 would be quite healthy 0.24 is a little high.

I presume the next action is to decide whether a biopsy is needed.

However, the biopsy isn't pleasant but not that bad. You get gowned up and the surgeon does a quick finger check and then you lie on your side. They push a well lubricated tube up your rectum and then give you a couple of painkiller injections. After a minute or so you can feel them fire a device into the prostate - it's uncomfortable as they fire it each time but not major pain - in my case they did 13 of them. They then clean you up and you walk back to get dressed - I drove home afterwards.

I went to lie down on the bed for a couple of hours when i got home with a couple of paracetamol and I was fine. For your next dozen or so ejaculations you will have bloody semen which can freak you out a bit and you may have small amounts of blood in your stools and urine but that's perfectly normal.

From the histology results they will give you a Gleason score which looks something like 3+4=7 which indicates the size and scope of the cancer lesion(s). From that point you can decide one what steps to take next.

Hope that helps

Steve

You might get a Transperinial biopsy where they go in through the perinium. You lie on your back with your legs up in stirrups and the needle goes in through the perinium. I had this and no real issues …I think it’s less prone to infection for obvious reasons.