Prostate size/measurement confusion

Posted by oldoz @oldoz, Dec 6 4:18pm

Diagnosed with Prostate Cancer following a Biopsy in June 2023, done by local Urologist.
Was under Active Surveillance prior because of rising PSA. Urologist recommended continuing Surveillance.

Looking for information to help me understand prostate size, because I’m confused?
11/16/20 - 10 grams heavily calcified prostate - local Urologist based on an Ultrasound
06/05/23 - 20 grams normal sized prostate - local Urologist based on Ultrasound
11/16/23 - 20 gram prostate - report by local Urologist following a Ultrasound Needle Biopsy (Gleason 3+4 in 4 of the 12 samples)
08/13/24 - small prostate 16cc - measures 3.7 x 2.8 x 3.1 cm Radiology Report following local hospital MRI
11/27-24 - volume 15.3cc - Mayo Radiologist Summary report based on the MRI CD done at my local hospital
I don’t understand the different types of size measurements grams, centimeters, cc’s, volume?
I read somewhere online that a Prostatectomy can sometimes be a problem if a patient has a smaller prostate, because margins are small?
Mayo/Phoenix Urologist I saw last month ordered a new Biopsy and other tests to be done at Mayo, then a follow-up video appointment in January.
My confidence level on evaluation and treatment has gone up since some of you previously recommended Mayo to me.
Should probably have done it a couple years ago. Thanks.

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

@colleenyoung

@oldoz, just checking in. How are you doing? When will you be having more testing at Mayo?

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More Testing January 2nd and 3rd in Phoenix. Follow-up with the Urologist January 10th. They wanted a couple Urine tests done prior, which I got done at the local hospital today, and will follow-up next week to make sure Mayo received them. Urine flow seems like it is getting worse (primarily difficult starting) as each week goes by, even though I'm maxed out on the oral meds. Although cancer is clearly a concern, not being able to very effectively empty my bladder is a daily concern, especially at night.

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