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@drggkelley

Thank you so much for your response. Biopsy on Dec 15th but I have asked to be notified of cancellations, so could be sooner. I am gratified to hear you are doing pretty well. Are you a "faith-based" person? If so, curious how your faith influenced this.

I had a 3.3 in Sept of 2020, then a 4.6 in March of this year followed by 6.2, 5.3, 6.1 over the summer and now 6.4. Hematuria was in March of this year. GP thought it was kidney stones. Had some pain in my side which seem to confirm his suspicions. Did ultrasound in early April and no stones, Bladder test was negative. Did office prostate exam and no discernible issues. Urologist advised to keep doing PSA and then have biopsy if scores remained the same or higher. Imaging identified a lesion and graded it as 5 which is a high probability for cancer (B value DWI. (Score 5; PI-RADS: 5). 20% of cases are benign. Findings also indicated: "Mildly
prominent central gland with features suggesting benign prostatic hypertrophy." So, I am a bit confused with the findings. Is it BPH? Cancer? Both?

My doc says "A month here or there when it comes to the possibility of prostate cancer is not usually worrisome as prostate cancers usually grow very slowly, on the order of years, not months. I am comfortable waiting until Dec 15." So my procedure is Dec 15th.

Also: "no definite evidence of invasion or extension beyond the capsule. There are no signs for seminal vesicle infiltration. BLADDER: Unremarkable; LYMPH NODES: No evidence of lymph node enlargement.

The only symptoms I have had is frequent urination, which seems to be the case now for several years. No sexual problems (well, at least not related to erections - maybe technique!).

Regards!

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Replies to "Thank you so much for your response. Biopsy on Dec 15th but I have asked to..."

"I had a 3.3 in Sept of 2020, then a 4.6 in March of this year followed by 6.2, 5.3, 6.1 over the summer and now 6.4. "

I would most likely throw out the 5.2 score as an anomaly for decision making purposes.

"So, I am a bit confused with the findings. Is it BPH? Cancer? Both?"

I'm not sure if you can have both by definition, I guess it may be possible. I've always thought if you had BPH it was a more uniform enlargement as opposed to lesions or tumors within the gland. Maybe.

"My doc says "A month here or there when it comes to the possibility of prostate cancer is not usually worrisome"
My doc said something very similar, more like "Surveillance is not a good option, we have to do something, but, we don't have to do it right away" The context was in him telling me to do research as to the direction I wanted to go for treatment.

I didn't have any symptoms other than similar to yours either. My biopsy results indicated the concentration of cancer was on the right side, because of this the surgeon also performed a Lymph node dissection on the right pelvic lymph node, luckily that was negative when tested.

To answer the faith question, I have a pretty strong faith, There was/is a lot of prayer and I believed it helped me a great deal with acceptance when I found myself going to darker places mentally.