Received MRI Results Today

I'm glad to hear that. After a cancer diagnosis, hope starts as a tiny spark that the tiniest breeze can extinguish; it takes time and patience to build it up into a roaring blaze.

(How's that for a nice Christmas yule-fire analogy?)

From a candle in the wind to a crackling blaze. I like that vision.

The PET scan is even more definitive. but, as most would agree, a biopsy is the procedure that validates yes or no for certain.

As noted by otheers , purchase Dr. Patrick Walsh's book " Guide to Surviving Prostate Cancer " and educate yourself before rushing into a treatment you will REGRET LATER .
If you are getting a Biopsy : insist on a TRANSPERINEAL MRI Fusion Biopsy -- NOT A " Transrectal " for obvious reasons . Reduced infection ( sepsis ) risk .
Transrectal Biopsies are illegal in certain countries , Norway as one example . Transperineal is big worldwide , a little slower in the USA but I read about Urologists in the USA refusing to perform the Transrectal .
Finally. When you get your biopsy results get a 2nd or even a 3rd opinion of your Gleason Score . It will determine your treatment optionns .

The cancer clinic nurse called today as a follow-up to the MRI results I've posted here. She said you can just watch the PSA number and track it OR you can schedule a biopsy. She warned me about possible infection risks with a biopsy. I was expecting a more definitive need for me to get a biopsy (not a W and W option). Of course she isn't a doctor. She saw there were 2 lesions (Pi-Rads 5 and 4) and pitched the options. She's probably reading from a script. I said, "of course I want a biopsy", so she is booking me one (6 weeks out).

You can get a transperineal biopsy which greatly reduces the possibility of an infection. You could call up and ask if they have that available. I can’t believe they discouraged you from doing a biopsy because of that, The chance of an infection are extremely low, But the transperennial is better.

The risk of not doing a biopsy is so much higher.

Apparently that method (trans perineal) is not available when I am. I'll do the classic (rectal) one for sure, but waiting 6 weeks plays on my patience.

Had MRI early November. PI-RADS 5. 43 ml volume prostate. Tumor 1.25 inch by .75 inch in posterior peripheral zone. Tomorrow is biopsy day. Hoping for decent gleason but it is what it is.

Don’t mean to make you even more anxious but you REALLY should find someone out of your area who does transperineal biopsies.
Not only is the chance for blood infection greatly reduced, but access via the perineum affords greater access to the entire gland and they can get samples from areas very hard to reach with a transrectal approach.
Also, the very cavalier attitude of the nurse (who represents the Doctor!) tells me that these people either don’t care or are inept. OF COURSE you should have a biopsy with those results - are they nuts!!??
Anyway, make an investment in your future - since that’s where you’re at - and see if you can find a center of excellence or large university hospital that’s a few hours away by car or plane if necessary. Best of luck!

@clandeboye1
Good and helpful information.
There will be a lot of discussion about how biopsies will be done. I insisted mine be done Transperineally with MRI/Fusion.

I completely agree with getting the second opinions. I got three (3) different opinions.