Going for Prostate Biopsy Tomorrow ….Looking for Opinions and Thoughts

@indyguy Hi. Yes, I did end up having a fusion guided transrectal biopsy in the surgery center next door to their office, but they knocked me out for it, which was appreciated! They targeted the pirads-4 lesion from my MRI (which ended up being Gleason 7) and then took several random cores too. I just read that your MRI showed pirads 3 so hopefully that means your biopsy results will be even more favorable.

Several on here strongly recommended transperineal and I tried to talk to my urologists office about that, but they were pretty adamant that they only do transrectal and that it is somehow better. Because it was already scheduled and I didn't want to start over with a new urology group, I proceeded that way, especially since there was just one visible lesion on the MRI and they said they could target it with the transrectal.

The discolored pee still comes and goes, but much better. I thought it was all clear, but not yet. Don't get me started on the color of my semen! It's disgusting. lol. I'm wearing feminine pads that stick to your underwear, so there's that. I think they used to be called "panty liners" back in the day. Thanks for the positive thoughts. Right back at you!

@stldadof4
Thanks for sharing your experience.
I might have to close my eyes when I pee for a week lol.
I might also refrain from having sex for months so I don’t have to see that either🤣.

Thursday morning here we are supposed to get snow, so not only do I dread going for the biopsy, but have to worry about crappy weather lol.
Have to keep a sense of humor through all of this.

@indyguy We had our first big snow the morning of my biopsy too! (another similarity) I guess it helped to be focused on the roads to keep my mind off of everything else. A sense of humor is important. I have been milking the "but I have cancer" sympathy button at home, but it seems like it's already run out! Lol.

@stldadof4
Lol…I have been talking about this biopsy for a month and I know my wife is tired of hearing it. I joke about my huge basketball size prostate 24/7 lol. Been reading about everything prostate related for over two months and it is tiring….yet I still do it lol.

That is quite a coincidence about the snowy weather the day of our biopsies. This forum is great, I think about the saying “ Misery Loves Company “ lol…not saying that anyone on here feels miserable, but I am a big wimp and it is nice to talk to other guys that have and are going through this stressful time.

@indyguy Well, you know what they say about guys with big prostates …. LOL. It does help to have a community of guys who understand. Some are very far down the road, which is extremely helpful. Others are very early, like us. It would be very lonely and stressful without this type of group.

@stldadof4
🤣….atleast I can brag about having something big lol.

@indyguy I had to laugh when you mentioned taking a week to pee. I have been there and then some.
My doctor ordered a PSA about three and a half years ago and it came back 7.84. The reason for the test was I couldn't urinate without a lot of pain.
Needless to say, it was off to the urologist. The biopsy wasn't fun, but it wasn't as bad as I imagined it would be.
Unfortunately, my results were positive for prostate cancer. Luckily, the cancer is very small (still is) and we are just monitoring it.
One positive result is the doctor prescribed a couple of meds, including Finasteride, which can take up to six months to show any benefit. But, once it did, it made my life so much better.
There were sexual side effects, but Viagra helped. Now, that side effect has improved somewhat, but I don't think I'll ever be 40 again. LOL

Just remember...99% of that which we worry, never comes true. Be patient...wait for the results of the biopsy, and hope for the best. Remember to have the "Decipher Test" done on the tissue. The test is performed by Veracyte Labs in San Diego, CA. It is their proprietary test for 22 prostate cancer-specific genes, and offers a risk assessment score from 0.1 to 1.0. You want your score to be as low as possible. Remember too, if the 12-core- sample biopsy comes back with pathology and your Gleason Score is whatever it is - that you have cancer - thoroughly investigate all of your best options. The biopsy and Gleason Score for those of us with prostate cancer is just the tip of the iceberg. Until then, enjoy yourself...
Go downtown to Sullivan's Steak House, and enjoy an 8 ounce Filet Mignon, some garlic mashed potatoes, some shaved brussel sprouts, a nice Cabernet Sauvignon, and a piece of their key lime pie and cup of coffee for dessert. Good luck to you.

Thank you
This is what they have been telling me without referencing those exact numbers. I am on the ADT and will start radiation Wed.
I am getting the impression from some posts here that this urgency is not so critical here, because there is some new-fangled radiation, is it photon, proton, that can handle any metastatis, even to the bones.