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Going for Tulsa Pro

Prostate Cancer | Last Active: 22 hours ago | Replies (120)

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@markc68

Have follow up on Tuesday. Dr only wanted to repeat psa in 6 months but we insisted on a sit down. In mean time we are working on second opinion. Psa has gradually gone up but has been sitting around 5.5 for last couple years. This spring it jumped to 7.8 and they put me on doxycycline for 6 weeks and repeated psa after it was complete. Psa came back down to around 5 but he wanted to do mri. After results of mri urologist wanted to do bx. Was not mri guided but was ultrasound guided. Just scared he missed the areas of interest. I had mri little over 1 yr ago and they seen nothing of interest. I attached mri from Feb of last year. Before mri I ask urologist about psma scan and he was like, let’s just see what bx shows first. If positive we will do one. In process of getting all medical records around for second opinion. I have read that some pi-rad5’s can be benign but very rare? Thanks everyone.

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Replies to "Have follow up on Tuesday. Dr only wanted to repeat psa in 6 months but we..."

I see that word in your 2024 MRI "prostatitis". It can cause almost everything you have from PSA to elevated pirads. I suspect the prostatitis is the main issue, because it messes with imaging and causes all kinds of error like throwing the pirads rating into a tizzy. Doesn't mean there isn't something there, but it is likely the issue causing imaging to be all over. Doc following right path, follow psa, another biopsy later. That being said for prostatitis sometimes antibiotics help, most times not, sometimes an OTC like liquid drops of sweet wormwood (not plain wormwood) or artemisia annua but just add liquid drops to drink for a month or two, over time it helps about as much as antibiotics which is just sometimes.

AI search "artemisia annua sweet wormwood antibiotic effect"
Artemisia annua, also known as sweet wormwood, has demonstrated significant antibacterial activity, particularly against a range of bacteria and parasites.

If it wasn’t MRI guided why even bother? He had you get an MRI and then did NOT use it to do the biopsy?? Am I missing something here?
Not to beat a dead horse but you should have a transperineal biopsy which can access all areas of the gland. Who knows if your Uro even hit these areas?
Also, your MRI went from PIRADS2 to PIRADS5….and that’s a six month wait and see? Please get away from this person no matter how much you like him.
Phil