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@stew80
Scans do not give a pathology results or Gleason score. A biopsy shows if cancer, a Gleason score.
Per your message you have not yet be diagnosed with cancer. Hopefully your lesions are benign. When I got my MRI results I was told 70% chance the suspicious areas would be cancer and they were.
For me and cannot speak what is best for you I would wait to see a biopsy results and then go from there. If cancer then if me would do the follow up tests, Decipher, PSMA. But talk to your urolgoist and R/O about your questions and concerns you area in the early stages of diagnostic.
You said you had to wait 9 weeks for a biopsy? Again if me I would go to a experienced major provider and have my biopsy done there. For me waiting 9 weeks would not be accceptable. After my MRI at Mayo my biopsies were done 1 week later.
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In Canada paying for a biopsy earlier would typically mean travelling to the U.S., with all the extra expense and hassle that involves (especially with the CAD low against the USD right now).
As I mentioned in my earlier comment, while every province is a bit different, healthcare scheduling is usually on a triage basis here. If you're in crisis, you get taken *very* fast (that's been my personal experience); if they don't think it's urgent, then you have to get in line. Sadly, I probably bumped a lot of people down the queue back in 2021–22.
Unfortunately, they don't consider mental health in the equation. Waiting for a biopsy is a very different kind of trauma than just waiting for a knee replacement.