Good Day Colleen,
Since the prior three biopsies were TRUS, they went the transperineal route this time around. MRI targeted with 22-cores and thankfully all were benign. The biopsy report indicated all cores were prostatic tissue. The N1 finding now leads me down another road with a abdomen/pelvis CT scheduled in a couple of weeks. The initial lymph node involvement had made sense since I have other lymph nodes in my neck and underarms acting up. With the prostate biopsy negative, I anticipate a referral to a new specialist to find the culprit of the lymph node issues. Thank you everyone for your feedback and wishing you the best! Struggle well and keep your head's up!