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I'm also in Portland and my Urologist wants me to proceed with biopsy even though PSA and MRI are both inconclusive but the MRI pointing to a potentially benign condition. He also doesn't want to do any other blood tests like the PSE, didn't do a DRE. I finally got him to agree to another PSA in 3 months and if numbers increase than a biopsy. Also will schedule another MRI in 6 months based on radiologists recommendation. Its just frustrating and hoping I'm taking the right approach. I'm hoping to maybe do a PSE sooner if I can find someone to organize it.
Replies to "I'm also in Portland and my Urologist wants me to proceed with biopsy even though PSA..."
@ezpcic . First what was your PI-RADS Score on your MRI . And second : Have you ever purchased and studied Dr. Patrick Walsh's book " Guide to Surviving Prostate Cancer " or followed Dr Mark Scholz U Tube Videos on Prostate Cancer .
Finally . You can not determine if you have cancer from a PSE , DRE or MRI Test . They are signals only . A DRE Test cannot feel the area of the prostate where 90% of cancer starts .
A PSA & DRE are Amber lights - An MRI can be a RED light . The Biopsy confirms whether you have cancer or not . See below Re : 2nd and 3rd opinions .
CAUTION . Should you require a Biopsy : Go for a TRANSPERINEAL MRI Fusion Biopsy . NOT The outdated TRANSRECTAL where for obvious reasons the risk of infection is higher , plus with a Transperineal you can reach areas of thhe prostate much , much more easier .
And finallly and most important . After a Biopsy and you receive your Gleason Score . Get a 2nd even a 3rd opinion to confirm your Gleason score . Your treatment options rely on an accurate Gleason score .
Good luck.
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FYI - still zero response from OHSU in PDX. I’m glad there are options - at this point Fred Hutchinson has exceeded my expectations immensely and further enforced through interviews with a couple of prostate cancer patients in waiting room.