Dr not getting in touch about a follow up appointment yet

It’s actually no sign at all. You don’t know either way..

Call their office and find out when you can talk about it.

He should be able to look up what happened in the test results. You do have online test results?

When I have an MRI all the results show up there. You’re really just looking to see if they have a PIRADS Score for any of it.

What does the report say? Any ominous language in it?
Better give him/her a call.....best to advocate for yourself.
I make all my follow up appts when im leaving the last one....you can always cancel.
My thought? The Doctors are working for me, not the other way around.

Pirates 3, it says because lesion is so small to determine it's status. Large prostate and 5.20 psa equals .055 density. The reader says the one lesion is in the mid-gland left posterior periferal zone, but close to the transition zone where she says it possibly originated. Lymphnodes, pelvic area and floor all normal. No fluid. That is all from memory, so maybe described incorrectly.

Pirates

I hate spell check, won't let me write "pirads"!

@benz57 PIRADS3 is cancer 40-50% of the time. The urologist will typically suggest biopsy to follow up. You may want one of the non-invasive tests such as PSE if you have not already had them. Some of these are more accurate than MRI but they do not show any location for a fusion biopsy to hit.

If you take the pirads3 in isolation, yes, but with a low density, and very small size .55 cm , and a liesion the radiologist is pointing out could come from bph, plus earlier favorable tests like neg dre, the likelihood leans toward bph. But the pse is a good idea.

I would definitely continue your regular PSA and free PSA maybe more frequently. Also follow up with the PSE or ExoDx urine test both of these can help in the decision making about going ahead with a biopsy. The PSE has higher accuracy, but alot depends on insurance coverage. Active Surveillance might turn out to be your best initial approach

Well, that is why I would like to get to a discussion with my urologist. I am calling tomorrow. I would absolutely need more convincing if he still wanted to do a biopsy. BTW, I am in the VA community care, so, as long as they approve of a treatment they will pay for it.