Biopsy Infection

"Doctor seems not concerned" would take me to a second opinion quickly. Sorry you have endured this.

The problem you have is why we try to get people to have a transperineal biopsy, to avoid the possibility of an infection. I had three different transrectal Biopsies and never had an infection, but we’ve had people in here who’ve had terrible issues with infections after transrectal biopsies.

Everyone that I have heard of that has gotten an infection has been able to recover fully. I know that at least one person had to stay in the hospital for a while because of it.

Did your biopsy find anything?

Yes 6 are cancer. Aggressive form. All on right side. Surgery May 8th for removal. Very frustrating. Doctor office called today no growth your fine. Don’t feel fine. Pet scan 4/18 read report seems to be not spread. Never heard from doctor office.

You want to know what the Gleason score is. Aggressive form can be many things that score can explain them.

Ask the doctor, or look at the biopsy results it should be listed. Was anything else found in the biopsy?

Is the same doctor doing your surgery - one that did biopsy ? If yes, I suppose he is just regular urology guy ? In that case I would strongly advise to go for second opinion to oncology urologist and to the center that specializes in prostate cancer.
Also, your infection has to resolve before surgery :(.
Please try to find somebody for second opinion ASAP , both regarding biopsy findings and regarding infection treatment. I agree with Jeff, you need to know your gleason score and how many cores were done etc.
You mention Pet scan - did you mean PSMA PET scan ?

It just doesn’t seem like you have enough information to make a decision about what to do. If you are just seeing a urologist, you must realize they are surgeons. Therefore, the answer to prostate cancer for them is surgery. You may have many more options than surgery and I think you need to see another doctor to Get a second opinion. Have You had the opportunity to talk to a radiation oncologist about treatment?

You need to be proactive you can’t let your doctor just direct what you are to do. You can get information about options here and then be more informed to make a decision Based on what more than one physician has to say. See a Genito urinary oncologist or even better go to a center of excellence like Mayo. This will give you many more options.

How old you are is a factor in what is best to do.

You really need to know that Gleason score on those cores that are cancerous. You really want to see the whole biopsy report. If you posted it here, we could take a look at it and see if there’s something in there that is especially worrying.

Do you have other cancers in the family? Have you had hereditary, genetic testing? You can get it done free at this below site as long as you live in the United States. Don’t check the box you went your doctor involved or it will delay them sending the kit until your doctor talks to them.

Prostatecancerpromise.org

Started off with very nasty results from a biopsy. Make it worthy worth it, be proactive.