Hi,
When my husband's PSA began to rise, we were told MRI was the way to go. He had 3 MRIs at 3 different facilities over time, and all signs of PCa were missed. We learned as much as 50% of PCa is missed on MRI. When my husband ultimately had surgery, he was found to have T3b (seminal vesicle) involvement. He was diagnosed with T2a prior to surgery, based on his biopsy. Having said this; my feeling is, the only way you know 100% what you are dealing with is to have it removed where they can do the complete pathology on the entire prostate and seminal vesicles. The SVI was not picked up on the MRI, nor biopsy. We never would have known how high risk this was without the surgery. Radiation would have only provided a band aid (in my opinion). We really had to pin the doctors down to get the surgical recommendation. They don't like to choose. One of the surgeons said finally, "I would want to get it out of there" The other one said, "Surgery is cleaner and you know what you are dealing with." Again, just someone who has been on a several year journey with this and only my opinions and personal observations. Good luck with your decision.

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