I had focal laser ablation in 2017. Since then, my MRIs have shown nothing suspicious, but my PSA has bounced around causing some angst. Somewhere between 1/4 and 1/3 of my prostate was ablated in the FLA procedure.
My latest MRI from 10/21 measures my prostate at 48cc. My latest PSA is 3.8. So, assuming that all 48cc is functional, my PSA density would be .08. Worst case, if 1/3 of my prostate is scar tissue that does not produce PSA, then the density would be .12 (3.8/32)
My PSA history (Post FLA) has been:
12/15/17 - 3.9
2/9/18 - 5.1
12/20/18 - 3.2
3/18/19 - 2.5
9/20/19 - 2.4
05/18/21 - 3.2
08/2021 - 2.6
10/25/21 - 4.5
01/25/22 - 2.7
05/09/22 - 3.8
I have an appointment with the Urologist next week to go over the PSA results. I assume the options at this point are 1. continue on AS, 2. do biopsy, 3. do another MRI, 4. do a PET scan.
The increase in PSA bothers me. I want to be proactive, but don't want to do unnecessary tests. Any suggestions?