I'm a newbie: Hi guys! I'm John aged... - Prostate Cancer N...

Prostate Cancer Network

5,258 members3,324 posts

I'm a newbie

john-boy-92 profile image
7 Replies

Hi guys! I'm John aged 72 and the latest thing to add to my medical history is an upcoming transperineal biopsy without a grid template. I have AF and in 2016 I had a stroke, and about twice a year there will be a one-off of blood in my urine so I'm monitored by the local health centre. My PSA jumped from 5.4 to 9.2 in four months so I was fast tracked for an MRI. Four days later the MRI scan confirmed that my pelvis, spine, and lymph nodes are clear. The prostate is smooth and at 55cc is calculated as slightly dense for that PSA figure. I don't have much in the way of symptoms and get in at least two 12km sessions a week on my indoor rowing machine.

Written by
john-boy-92 profile image
john-boy-92
To view profiles and participate in discussions please or .
Read more about...
7 Replies
Magnus1964 profile image
Magnus1964

Sounds like you are in good shape. At this time ADT drugs may be the best option.

john-boy-92 profile image
john-boy-92 in reply toMagnus1964

Thanks for your reply. I'm aware that ADT will affect muscle mass so I'm making sure that i get in sufficient exercise without over-reaching.

Tall_Allen profile image
Tall_Allen

Good luck on the biopsy - why is it without a grid template? Let us know the outcome.

john-boy-92 profile image
john-boy-92 in reply toTall_Allen

Thanks for that. The biopsy wll be with a local anaesthetic so I assume that the MRI has sufficient information to require just a few biopsies. The information sheet sent by the specialist cancer nurse is out of date even though it was published in 2017. It will take two weeks for the results as "there's no rush" acording to the specialist nurse.

Tall_Allen profile image
Tall_Allen in reply tojohn-boy-92

What were your PIRADS scores in each area? I think they should sample from all areas, because there are false negatives for significant PC in mpMRIs.

tucker_man profile image
tucker_man in reply tojohn-boy-92

I'm with Tall_Allen. I had the MRI with a PIRADS of 4. When they did the fusion biopsy, they took 7 cores from the PIRADS 4 area and found nothing. They also did the 12 core template at the same time and found cancer in 60% of one core that was not on the MRI. I would highly advise against only getting a biopsy in suspicious areas, they're already doing it, might as well be thorough.

john-boy-92 profile image
john-boy-92 in reply totucker_man

I've just had my Pi-RADS score of 2 with a PSA density of 0.18 and, no focal high-grade.

Not what you're looking for?

You may also like...

Newbie

A friend told me about this site and I thought I would check it out . 60 years old psa creeping up...
Palpal6 profile image

Panacur (fenbendazole) report

So I tried it after getting all caught up in John's blog about it. I'm in nowhere near his...
kapakahi profile image

Best place to get a MP MRI if I am paying the bill?

I'm 62 years old and have a PSA of 3.1 up from 2.1 two years ago. Urologist has suggested getting...

PSA RISING

Hello, in October of 23 my PSA was tested and was 4.7. I am a 59 year old generally healthy guy....
Muskyguy profile image

Where I'm at so far....

After a high PSA test result (26.2), an abnormal DRE and an MRI that was PIRADS-5 (high risk of...
mike__c profile image

Moderation team

Bethishere profile image
BethishereAdministrator
Number6 profile image
Number6Administrator
Darryl profile image
DarrylPartner

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.