Yes make sure they use contrast. I was completely asleep for the biopsy. My Gleason score was 6 seven years ago I decided to go on active surveillance until recently 2024. My PSA went up to 6.5 after seven years of being diagnosed and my doctor told that I need to go for an MRI with contrast and it show that the tumor had grown two weeks later I went for a biopsy and came back that the Gleason score rose to 4+3 =7.. my oncologist told me that my best option for robotic surgery which I did.. So far so good I have no urine leakage at all but some Ed problems..

I had an MRI due to a rising PSA that went from 2.6 to 4.5 on my annual physical. My urologist asked for another PSA test and ordered an MRI with contrast. The MRI was a piece of cake. The MRI tech gave me an IV, and then I layed in the MRI for about 20 minutes with a set of headphones playing music. The hardest part was just trying to lay still. The MRI showed a lesion and the radiologist report (which I got at the portal of the lab which did my MRI) said about a 50% chance it was cancer. Interestingly the follow up PSA had come down to 3.6. Got a high res fusion biopsy and found plenty of cancer, so the drop in the psa was a false signal.