I had bad news today, seems to be the more issues with prostate. In another thread you could read how they screwed up an Aquablation in 2/2024). Ended up resident did surgery and messed up. My surgeon claims he was available?? After another scoping they said I need a revision Aquablation surgery. I said no for now and went on Flomax. Anyway, they did lots of tests and found no cancer. Actually Medicare wouldn't pay for a big chunk of surgery and said they were not to bill me either. I didn't really understand all the technical reasons why they wouldn't pay.
Last month I had PSA of 5.23 when a few months earlier it was 3.2. Then they scheduled me for MRI of prostate. Did another PSA and it was down to 4.16, but still wanted the MRI. Report is below, doesn't look good PI-RADS 5. Can't seem to get a hold of doctor to see what we are going to do, really stressed. Seems like doctors are too few and too busy to give good service. I bet if I was someone important big name, I would get some attention. At one point they say in report Lesions (PI-RADS 3 or higher), like more than 1, but in body only mention 1, but it is not good. If I understand it, it hasn't spread. Wish I could get a plan with doctor!

FINDINGS:
Prostate measurement: 5.7 x 5.0 x 4.9 cm Prostate volume: 68.75 cc PSA: 4.16 ng/mL PSA density: 0.06 ng/mL/cc
Peripheral zone: See below.
Transition zone: No index lesion. Stromal and glandular BPH nodules.
Lesions (PI-RADS 3 or higher):
Lesion # 1: Location: Left posterior peripheral zone extending from the base to the apex Size: 2.4 x 1.3 x 2.6 cm (5.83 cc). T2: T2
hypointense DWI: Marked restricted diffusion DCE: Focal early enhancement, positive Prostate margin: Abuts the capsule without
definite invasion Overall PI-RADS Score: 5/5
Prostatic capsule: Intact.
Neurovascular bundles: Not involved.
Seminal vesicles: Not involved.
Lymph nodes: No lymphadenopathy.
Bones: No acute osseous abnormality.
Other findings: Small fat-containing right inguinal hernia.
IMPRESSION:
1. The prostate gland measures 5.7 x 5.0 x 4.9 cm with volume of 68.75 cc. PSA density is 0.06 NG/mL/CC. 2. Lesion # 1: PI-
RADS 5 lesion in the left posterior peripheral zone extending from the base to the apex measures 5.83 cc. No frank extracapsular
extension. 3. No pelvic lymphadenopathy.
PI-RADS Category 5: Very high (clinically significant prostate cancer is highly likely to be present)