Start of rollercoaster

User

Posted 11 Jan 2025 at 12:13

Hello all. New here and trying to find info & advice.

Im 58 and at last October MoT had a PSA test = 4.8. (Previous was 2.7 3 years ago). Was fairly relaxed as cycle off road about 60 miles a week so thought it was bumping about on Scottish hills. Did a follow up 3 weeks later & without any cycling for a week and it was 5.7. That got me worried. Got an MRI scan and results just in that I'm in 4 to 5 range but with no peripheral signs of abnormality. Next step is Biopsy I guess which I'm not looking forward to!

Wonder if I should take another PSA test before a biopsy to give a baseline as biopsy likely to spike it afterwards?

Is there anything else I should be doing and/or asking at this stage? From what I read on MRI results a 4 is likely a 70% or more, and a 5 90+% chance of C?

Kinda still hoping that an op 2 years ago for urethral stricture (with catheter etc) and/or bouncing about on my gravel bike has caused these MRI results.......but I'm keen to not bury head in the sand so biopsy it is.

User

Posted 11 Jan 2025 at 15:46

Hello mate.

Sorry to see that you've had to join the Club, but welcome to the forum.

The MRI 4 and 5 means likely and very likely to have prostate cancer but I shouldn't worry too much about that. Your PSA is relatively low and can be caused by other prostate conditions.

A biopsy will show more accurately if you have cancer and how aggressive it is. We've had blokes with MRI scans of 4 and 5 and biopsies showed benign tumours.

The biopsy is nothing to worry about, most would describe it as a bit uncomfortable.

Good luck and please keep us updated. Whatever your results we will be here, if required, to help and support you. 👍

User

Posted 11 Jan 2025 at 17:27

Hi there and I hope your stay will be a short one.

I had very similar numbers to you and had to have a biopsy.

That was transrectal, which was absolutely no problem at all. Don't get anxious about it at all, it's a breeze, if a bit undignified.

My results didn't come back quickly and I chased them up just before Christmas.

A secretary told me I'd been discharged, without any explanation or advice. The discharge letter was equally bland.

I did get to talk to a nurse who said I would be referred back to my GP and would probably be tested with a higher baseline PSA threshold.

So a lot of worry and stress was popped like a balloon in one phone call.

I hope you have the same result and can get back to a normal life.

Best regards, mick.

User

Posted 12 Jan 2025 at 00:08

There are a lot of cyclists here on the forum and there's a suspicion of a connection between cycling and prostate cancer but so far as I know no link has been found.

If you're going for a psa test, the results can be temporarily raised by some activities so I'd suggest you stay off your bike for 24hr prior to the test and standardize your test time and conditions as much as possible to avoid messing with the results.

Jules

User

Posted 21 Feb 2025 at 20:51

Thanks for the update, mate. No a bad result at all, you appear to be an ideal candidate for active surveillance. I hope your Gleason 6 is a pussy cat and that you never need any further treatment.

Best of luck pal. 👍

User

Posted 22 Feb 2025 at 00:11

Originally Posted by: Online Community Member

Anything else I should be doing and/or thinking about?

Exercise, good diet and regular testing, you're doing brilliantly!

Jules

Show Most Thanked Posts

User

Posted 11 Jan 2025 at 15:46

Hello mate.

Sorry to see that you've had to join the Club, but welcome to the forum.

The MRI 4 and 5 means likely and very likely to have prostate cancer but I shouldn't worry too much about that. Your PSA is relatively low and can be caused by other prostate conditions.

A biopsy will show more accurately if you have cancer and how aggressive it is. We've had blokes with MRI scans of 4 and 5 and biopsies showed benign tumours.

The biopsy is nothing to worry about, most would describe it as a bit uncomfortable.

Good luck and please keep us updated. Whatever your results we will be here, if required, to help and support you. 👍

User

Posted 11 Jan 2025 at 17:27

Hi there and I hope your stay will be a short one.

I had very similar numbers to you and had to have a biopsy.

That was transrectal, which was absolutely no problem at all. Don't get anxious about it at all, it's a breeze, if a bit undignified.

My results didn't come back quickly and I chased them up just before Christmas.

A secretary told me I'd been discharged, without any explanation or advice. The discharge letter was equally bland.

I did get to talk to a nurse who said I would be referred back to my GP and would probably be tested with a higher baseline PSA threshold.

So a lot of worry and stress was popped like a balloon in one phone call.

I hope you have the same result and can get back to a normal life.

Best regards, mick.

User

Posted 12 Jan 2025 at 00:08

There are a lot of cyclists here on the forum and there's a suspicion of a connection between cycling and prostate cancer but so far as I know no link has been found.

Jules

User

Posted 17 Jan 2025 at 18:09

Thanks guys. Biopsy due next week, under full anaesthetic. Fingers crossed!

Meantime I'm off the bike and piling on the lbs.

Edited by member 17 Jan 2025 at 18:11 | Reason: Not specified

User

Posted 21 Feb 2025 at 20:02

Post biopsy update = Gleason 6 (3+3) & between T1 and T2a on one side only. Latest PSA 6.6

Urologist suggests watching brief with 6 month PSA tests and annual MRI.

I guess if it was going to be cancer then this is as good a result as it gets. But remain concerned it may grow quicker and outside the prostate.

Anyhow going to tweak the diet to include more fresh fruit & veg, pomegranate green tea and get back on the gravel bike to train for a 240 mile trek over 4 days in May and a 100 miler overnight on the summer solstice.

Anything else I should be doing and/or thinking about?

Thanks again

User

Posted 21 Feb 2025 at 20:51

Thanks for the update, mate. No a bad result at all, you appear to be an ideal candidate for active surveillance. I hope your Gleason 6 is a pussy cat and that you never need any further treatment.

Best of luck pal. 👍

User

Posted 22 Feb 2025 at 00:11

Originally Posted by: Online Community Member

Anything else I should be doing and/or thinking about?

Exercise, good diet and regular testing, you're doing brilliantly!

Jules

User

Posted 22 Feb 2025 at 08:51

Originally Posted by: Online Community Member

Anything else I should be doing and/or thinking about?

Exercise, good diet and regular testing, you're doing brilliantly!

Jules

Thanks Jules! Yep - my GF has a 'life extension plan' for me already 😉

User

Posted 22 Feb 2025 at 08:53

Originally Posted by: Online Community Member

Thanks for the update, mate. No a bad result at all, you appear to be an ideal candidate for active surveillance. I hope your Gleason 6 is a pussy cat and that you never need any further treatment.

Best of luck pal. 👍

Thanks Adrian! 🙂

User

Posted 22 Feb 2025 at 11:10

Hi Gi

You seem to have a good plan in place and as others have said, keep being monitored regularly.

I don't know if this is of any interest, but I started taking these 2 supplements after reading about "The UK YourPhyto Scientific Study" - combining a probiotic supplement and a new generation phytochemical rich food capsule to aid men with indolent prostate cancer. A double blind Randomised Placebo Controlled Trial.

See the link below.

https://yourphyto.com/scientific-study

Wishing you well.

Seb

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