Doctor suggesting HIFU

[jbsnv]

Hello All,

I was diagnosed in Oct. 2017 with Gleason score of 6 and PSA 5.8. PSA was gradually going up and up. Had blood work done June 6th 2023 for a shoulder surgery and PSA was 15.3 had a PSA test done on July 24th 2023 for fusion biopsy on July 31st 2023 and it went up to 18.3 (1 month jumped 3 points). I take 2 tamsulosin both at night before bed. My biopsy came back with 1 tumor being aggressive and Gleason score went up 4+3 .. Doctor said since there is only 1 tumor and its not close to the wall of the prostate he is suggesting HIFU.

I would greatly love advice, suggestions.

Thank you!

[jbsnv]

Since I created a stir, and have no idea what to do, attached (1 attach to this post and 2nd attached to next post) are my biopsy results .. if someone could decipher it and explain what is the best option for me I would greatly appreciate it (Tall Allen, I looked into SBRT and insurance won't cover it and it starts at $25K)

black and white

[jbsnv in reply to jbsnv]

here is 2nd part of biopsy

black and white