@web265
Let me clarify. Ive been going to my primary doctor for TRT treatment, and all the psa levels listed above is from my primary doctor. Since my levels have been up and down, he referred me to go see a urologist, and wont prescribe TRT until urologist reports are done. It took a month and a half before they could see me, so it was just recently i had my rectum exam, and he said it felt normal. He then proceeded to say lets set up for a biospy in the coming weeks, which is set up for Nov 18th. I asked was he going to take another blood sample, just to see if it had come down, since i havnt been on Testosterone for almost 3 months, and he said it wasnt necessary. I then proceeded to ask should i have an MRI first, and he said he wants to go and be certain from the beginning, so with me being a newbie, im following my doctors orders. Now that its been almost 3 months since my last visit with primary care doctor, my 3 month follow up was due yesterday, so i kept the visit, and had them run labs again, for im curious to see if my psa has come down, and possibly to normal. If my psa has dropped, im questioning if i should keep the biopsy appointment, or demand a MRI, even if i have to go get a second opinion.
@mpersonne YES, CANCEL THE BIOPSY!!! The all caps were to make sure you understand the importance of the MRI and WHY you need one.
On a very basic level, prostate biopsies without MRI are like playing pin the Tail on the Donkey wearing a blindfold - and a hood! You don’t know where those biopsy needles are going except that they’re in the general area according to a sonogram.
MRI not only shows if lesions are even present, but ranks them according to size, which is a measure of cancer volume.
Secondly, a good urologist will use this MRI(with sonogram) to specifically target this suspicious area and know for certain that he is getting the samples he needs; you can puncture the prostate repeatedly and still miss the cancer, OK??
When your urologist says he has to do the biopsy without MRI ‘to be certain’ nothing could be further from the truth…Get AWAY from this guy ASAP and find yourself a reputable doc who uses fusion guided prostate biopsy, preferably using a transperineal approach…Best of luck,
Phil