Posit 4 diagnosis

User

Posted 07 Apr 2026 at 19:31

I have had an mri scan & they say it it is posit (?) 4. I’m waiting to have a prostate biopsy tomorrow morning. Anyone out there like me or have actually been diagnose with posid 4, but have had biopsy result. Thanks.

User

Posted 07 Apr 2026 at 23:41

The word used was probably PI-RADS (Prostate Imaging – Reporting and Data System), not POSIT.

It is a risk scale from 1 to 5. I don't know how they make the judgement. As a general rule 3 is the mid point, anything below that and they probably wouldn't do a biopsy, and suggest you come back in a year for another scan. 4 and 5 mean a biopsy is a good idea. We have had people on here with Pirads 5 and been cancer clear on the biopsy.

Dave

User

Posted 08 Apr 2026 at 06:39

Hi, Andy.

I'm sorry that your having prostate problems, but welcome to the forum, mate.

As usual Dave, has given sound advice. An MRI is usually a pretty good indicator of clinically significant prostate cancer but sometimes 'likely' pi-rads 4 results can be due to non-cancerous prostatitis.

Only a biopsy can confirm whether it's cancer and how aggressive it's likely to be. I hope that yours goes well today.

I see that your other post, which is basically the same as this one, was unanswered. That's rare, usually someone responds fairly quickly.

https://community.prostatecanceruk.org/posts/t33341-Waiting-for-a-prostate-biopsy

Good luck with your results and please keep us updated. You will get plenty of help and support here. 👍

Edited by member 08 Apr 2026 at 07:01 | Reason: Additional text

User

Posted 08 Apr 2026 at 21:53

Hi. Thanks so much for info. Had biopsy this morning. Appointment was at 8.30am, but biopsy was done after that. It seems neither the PSA or PIRAD is a clear indicator of prostate cancer. The biopsy & Gleason score will give me a better idea of how to progress, if that’s the word!!

User

Posted 09 Apr 2026 at 21:02

Was up 4 or 5 times last night. Every hour it seemed. Went for a pee, but just a trickle came out or nothing. Consequently was pretty tired in morning. Somebody said it could be effect of anaesthetic, but I have been up a few times before biopsy. Was in early morning, but now has started about 12.30am. I think it is prostate cancer & that I will need chemo. I’m having a bladder scan & urine flow thing on 18th May.

User

Posted 10 Apr 2026 at 21:39

Hi Andy, I just replied to your other post, before I saw this one.

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