What can I expect after my biopsy?

I’m doing exactly as you are suggesting so I really don’t know why you are pushing me to do something different.

I had an MRI done, I’m doing a targeted biopsy, I’m getting multiple opinions. I just haven’t read the book you are suggesting.

What you are missing is that isn’t what I’m saying. I think you are reading comments with your reply already figured out in your head without actually reading my comment.

I know you are trying to help and I appreciate that but please read my comment below before replying again.

I had an MRI that was read by two radiologists. The MRI report says it identified a spot that is likely Gleason 7+ with a PI-RADS 4 score.

I’m having a targeted biopsy on Thursday to confirm these findings.

I already have a 2nd opinion setup with the Brown Cancer Center and working on a 3rd opinion from Mayo Clinic.

What am I doing wrong that you are so against here?

@ericp502 I fully understand the RADS 4 potential for cancer - BUT NOT 100 % . You are being proactive in requesting a 2nd or even a 3rd opinion of your Gleason Score . You should also consider John Hopkins in Baltimore .
As I noted on this forum several times. My 1st Transperineal MRI Fusion Biopsy was NEGATIVE , which was in conflict with my MRI RADS 5 Score . My 2nd Biopsy was 6 Cores out of 16 Gleason 3 +3 = 6 . A 2nd Opinion ALL 6 Cores were upgraded to Gleason 3 +4 =7 . Favourable intermediate . Finally a 3rd Opinion -- 4 Cores Gleason 6 , 2 Cores Gleason 3 +4 = 7
I am 85 years young - generally in excellent health and currently on active surveillance .
Good luck with your Biopsy . Keep me updated .
p.s. My Biopsies were a walk in the park , without an anaesthetic . This is the common practice in Canada .

@ericp This book is highly recommended by several members on this forum -- Money well spent .
I am a Prostate Cancer Advocate . I recommend it to ALL of my referrals . In Canada , USA , the UK , Germany and Australia .
Once again - GOOD Luck with your Biopsy . All on this forum are commmenting in your best interest .
p.s. Noone is forcing you to make any alternate decisions . An educated member, acting as his own best advocate , makes the final decision in concert with his family . Not the Urologist . Oncologist , Medical Oncologist or others -- ONLY YOU AND YOUR FAMILY .

I was just hearing about this recently, I looked into it and did find they were finding seven and 7+, Not sure whether 7+ is a 4+3 or somewhere above a 3+4.

As for the technical answer

Prostate MRI and Gleason Score Prediction: Multiparametric prostate MRI (MP-MRI) combined with factors like PSA density can predict biopsy Gleason scores with reasonable accuracy pre-biopsy. For example, models using MRI findings and PSA density showed high correlation with biopsy Gleason scores in research studies

They do expect technology like this to replace the biopsy.

I opted for putting me out. I do fine on propofol and prefer not to remember the experience.

My last urologist did a bladder scope and assured me it was a walk in the park. He lied. Horrible experience and the worst medical experience I’ve ever had.

@jeffmarc. I agree - but we are not there yet .
AI will advance the medical profession at warp speed .
Keep well .

@ericp502 A final comment .
When making an EDUCATED decision on treatment , remember UROLOGISTS want to perform surgery - RADIATION ONCOLOGISTS , want to radiate . It's in their job description .
There are many other options out there . The current prevailing standard of care for Gleason 3 +3 = 6 and Gleason 3 +4 =7 , Plus SELECTIVE , Gleason 4 +3 = 7 , is Active Surveillance .

Eric seems to be doing everything correctly IMO. While an MRI is extremely helpful when it is combined with other factors such as PSA density and velocity in making “predictive” Gleason scores, ONLY the biopsy can find cribriform or ductal cribriform cell patterns consistent with a more aggressive cancer.
So even a predicted Gleason 3+4 or 4+3 takes a much darker turn in the presence of these cells and probably WILL require treatment and not allow the patient to simply monitor using AS.
And eric, cystoscopes are usually painless - I’ve had about 10 of them. Glad you have a new urologist!!
Phil

It sounds to me like you are getting your research done effectively and moving forward. I hope you will continue to share the details of your journey as your experiences are helpful to us all. Good catch on noting the absence of prostate cancer being the primary area of practice for some of the physicians you are/were considering. I know that was an important factor when I made my physician selections. Best of luck on the biopsy!
Bill