My PSA

Thanks for the reply 🙏🏻 just now waiting for the biopsy which I’m not looking forward to, on paper my results don’t look so bad but the pessimist in me is thinking the worst, also getting pain around the groin area which worries me a bit even though the mri reports no spread outside the prostate, have read though groin pain can be associated with prostitas not if this is the though.

Thanks Mick for the reply, I’m having the transpienal biopsy it doesn’t sound the most comfortable thing to have done and having it under local anesthetic as well 😬 also thanks for the encouraging thoughts regarding my test results, just the waiting now all the best 👍🏻 Tony

Personally I found the probe up the bum the worst, they told me that it was the size of a mans thumb - Hmmm.

The lube coming out afterwards was interesting :)

The worst part was waiting for the results, that took 6 weeks, outsourced path testing.

Had a PSA of 5.3 then 5.4, no symptoms, just decided to get tested as I knew a few mates who had had prostrate cancer.

Results - out of 22 samples, 14 had traces of cancer. Gleason 3+4 = 7, TC2 NO MO, so all contained in the prostrate. Next step meetings with Oncology and the Surgeon to decide on treatment options.

Hi, Tony.

It's very unlikely that your groin and pelvis pains are Pca linked.

It's been commented on here many times that especially after a recent diagnosis, we  blame every ache, pain and other problem on cancer. 

I have arthritis and often get bone pains, it's taken me ages to reassure myself, that they are not connected to my PCa.

Good luck, with your active surveillance, mate, and please keep us informed how it goes.👍

Edited by member 17 Jul 2026 at 09:13  | Reason: Typo

Hi

Your PSA is low so the likelihood that any aches and pains are related to prostate cancer is extremely low coupled with the fact your MPMRI and biopsy only evidenced low burden prostate cancer. 

What  I do think is important is to ensure your surveillance is active and action is taken if PSA starts to creep. My husband’s PSA was much higher than yours and he had a large prostate approx 80cc. He was diagnosed with Gleason 3-4 following private MPMRI and private biopsy etc. He had his surgery done privately at Royal Marsden hospital and following prostactomy a further three tumours were identified. Yes they were small .22cc, .14 cc , and .09cc. but the .14cc was 4-3. This did not change the overall grading but does evidence that MPMRI and biopsy do not always identify all tumours hence the need for you to watch that PSA carefully.

I do not say this to concern you but sometimes active surveillance is not as active as it could be. You are in an excellent position with low PSA and very little evidence of disease so as long as you can avoid radical treatment the better but just advocate for yourself if you have any concerns moving forward.

Hi, Tony.

The affect prostate biopies may have on PSA levels is usually deemed up to  6 weeks.  However, it is still possible that your small rise could be connected to your recent one.

A single  PSA rise can also be caused by many other non cancerous factors. An upward trend of results is more significant and a possible reason for concern.

Hopefully, your next PSA test might show that this small rise was a 'blip' rather than a trend.

I had my PSA regularly checked for several years, and every 3 months during my two years of active surveillance. It used to fluctuate a bit. Then results started to show an upward trend, which lead to a further MRI scan, another biopsy and RARP.

Good luck, mate. 👍

Edited by member 16 Aug 2026 at 09:15  | Reason: Additional text

Hi again, Tony.

Despite my active surveillance failing, I'm still a great fan of the treatment. It does require a particular mindset though. Some lads find it hard to live with knowing they have a cancer that may progress. There are lot of PSA checks as well, that can add to the anxiety.

You may not be psychologically suited to monitoring and find the process too worrying.

If you think you'd be better off going for radical treatment. Here's a useful video that gives various treatment options and their possible side effects. 

https://youtu.be/zYTU94-8pTc?si=xW83bOb0AVFQFD2l

My robotic surgery has been pretty successful so far. My bio contains full details. My advice would be carefully consider ALL options open to you. Look at possible side effects and pick which treatment suits your individual needs best.

Unfortunately there are no guaranteed outcomes with any treatment. You get good and bad stories about them all. Personal experiences do serve a purpose, but I'd be more inclined to look at the overall outcomes of thousands of men having certain treatments, rather than relying on the success or failure of a certain individual. If you see what I mean. 👍

Edited by member 16 Aug 2026 at 19:39  | Reason: Add link