← Return to New type of test for PSA: Prostate Screening EpiSwitch (PSE) test

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Greetings, I appreciate this forum and value the insights and feedback.

Currently assessing next steps based on a psa>8, ISOpsa>6 positive, and negative MRI. Wondering if EPIswitch should be expected to add any additional insight over ISOpsa prior to considering a biopsy as a next step. Second, does anyone have experience with Medicare paying for EpiSwitch? Lastly, curious if any reason to plan my visit Mayo prior to biopsy, or better to wait for biopsy results? Thanks!

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Replies to "Greetings, I appreciate this forum and value the insights and feedback. Currently assessing next steps based..."

@skimore
If the PSA tests comes back negative, you don’t need to take a biopsy. That’s really the purpose of having it. They will tell you whether there is prostate cancer in your body. With a Gleason six there may not be.

If you do have a biopsy, try to get a transperennial Instead of transrectal. Less chance of infection and they can get to more of the prostate that way.

You should have an MRI before you have a biopsy so they know where to look and know where to take samples, It should be a guided biopsy.

@skimore, Episwitch epigenetics tells you likely or unlikely, which would be more reassuring if they'd give you the grid of testing results.
Medicare pays for the test, but not for the draw, unless the draw is done in the doctor's office.
https://cancerworld.net/new-prostate-cancer-blood-test-psa-epigenetic/
ISO/PSA looks at structural changes in the PSA and is said to have 80% accuracy.
It sounds like you've a biopsy scheduled and plan on going to Mayo after. I'd read Jeff's post carefully and have a second opinion on whether you need the biopsy at all. That would be worth contacting Mayo for.
I hope you are negative