I have a PiRads5 lesion that is along the capsule wall.

Initial biopsy in Sept 2025 (after MRI) was Gleason 3+3.

Just did another MRI and Biopsy within the past week.

Waiting on those results.

Surgeon/Urologist at City of Hope, that I have been seeing after initial MRI and Biopsy was completed at local small hospital, indicated MRI’s are pieces of information.

Biopsy will provide better information and add to the info from the MRI.

PSA, MRI, Biopsy, Decipher, PSMA PETscan, etc are all pieces of information.

Do not stress too much, just on the MRI. For me, the MRI confirmed I needed a biopsy.

As far as TULSA, I was not a candidate based on location of lesion. Dr Scionti reviewed my MRI and Biopsy and indicated TULSA was not an option.

Best wishes on obtaining more information