Replies to @csbarry Thanks. Why no biopsy? Are you choosing to just do active surveillance? | Mayo Clinic Connect

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PI-RADS 4 with ill defined margin and positive DEC

Prostate Cancer | Last Active: Apr 12 4:48pm | Replies (18)

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@keithl56

Thanks. Why no biopsy? Are you choosing to just do active surveillance?

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Replies to "@csbarry Thanks. Why no biopsy? Are you choosing to just do active surveillance?"

csbarry | @csbarry | Apr 12 8:19am

@keithl56
Dr Emberton explains that it is overused and the side effects aren’t worth the process. Even at PI-RADS 4 I will probably die of other issues before cancer. I am 62 - PSA was 9.7 last year and 8.6 this last quarter. My next will be in Aug and I will make some decisions then. If I am over 12 then trouble is coming.
My surgeon wants to scoop my prostate out - which will leave me incontinent, with no erection or able to produce any seminal fluid. His answer is to give me a penis pump or his office can show me how to inject my penis with trimex. LOL No thanks. I will play the long game and hope for the best. In the meantime I will continue to enjoy my sex life as it is - I will savor every minute.