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@jeffmarc

Watchful waiting with a 4+3 makes no sense. The reason they want to do another biopsy is because your Gleason score has probably increased, more cores probably have cancer, and they want to see what’s going on. Watchful waiting with a 4+3 is just asking for a short life. Dying of prostate cancer is extremely painful you don’t wanna go there, that would be harder on your wife than treatment,. You need to get treatment and SBRT radiation is the least invasive procedure with the shortest time of treatment.

You should also have a recent PSMA pet scan done to make sure that it has not spread out of the prostate now. With a PSA of 22 it may have spread.

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Replies to "Watchful waiting with a 4+3 makes no sense. The reason they want to do another biopsy..."

Hello @jeffmarc,

Thank you for sharing your experiences with Prostate Cancer and trying to help and encourage other members on their healthcare journey.

I would like to share the community guidelines to help remind members to walk the careful line of sharing their own experiences while not offering medical advice:

2. Be careful about giving out medical advice:
- Sharing your own experience is fine, but don't tell other members what they should do.
- Experiences and information shared by members on the - Mayo Clinic Connect are not a substitute for professional medical advice, diagnosis or treatment.
- Never disregard professional medical advice or delay in seeking it because of something you have read on the community.

Using phrases like "you should" and "you need to" could be taken as medical advice even if the true intention is to encourage another member to follow their provider's suggestions. We share our experiences to help guide our conversations with medical providers and to help ask more informed questions to help make decisions on their medical treatment.