MRI Scan & Fluctusting PSA - Biopsy. What does it mean?

Hi.

I had HIFU under Prof. Emberton, but at the university college hospital in London. The procedure can be done as a day patient and not evasive.

I would suggest with your PSA not being that high and a gleeson score showing the cancer is not overly aggressive. that you dont need to panic and get a biopsy done to get a better idea where you are.

After that to get as much advice as you can and see what options you have. HIFU treatment can be available in other countries around Europe so maybe also consider that.

Good luck

Brian.

I'd like to see what the Gleason scores are after your biopsy. If it's G7's or higher, I would stay clear of HIFU treatment. Yes, I had HIFU with G7's & G8's. Then everything got worse 3 years later and I had to have my prostate removed.

My husband's PSA was12, no symptoms, just picked up on routine blood tests. MRI was said to be clear by doctor performing first biopsy, which was a Trans Periannal one. We were told cancer was in a small area and would probably be watch and wait, however, surgeon from another hospital within the team upgraded the MRI and he then had a targeted biopsy. Which showed more cancer in the right side still but in a difficult to treat area, he was a Gleason 7 and tumour classed as T2A, then T2B. Only option available was to have prostate removed. Prostate removed and they found cancer in the whole of it and final outcome was it was a T3C. We were glad no further treatment required and felt lucky that it had been picked up so quickly. If it had not been for the other surgeon upping his MRI result, he could have still had the cancer in his body and it would have spread. Go with your gut feeling re what you want to do. Is there no option of treatment where you are living? 

Your age and sexual activity are relevant. Also how you want to spend the rest of your life is a consideration. PCa takes a long time to be fatal, surgery doesn’t get the results advised and they tell you afterwards you still have to assume you have cancer cells in the body waiting to declare themselves even with the gland and the bits you loose with it gone. Biopsies may be worth some scrutiny. You bleed a lot after them and while they say biopsies do not cause the Cancer to spread the only reasoning for this I found was based on another organ and its post-biopsy survival rate. I had a 6 hit negative biopsy some years ahead of a 10 hit one following MRI detection of 2 areas of 3+4 PCa. The other 8 U/S guided only were all negative. It takes a lot of U/S guided hits to find PCa.

An approaching 90 year old friend had what he called a “scraping” 15 years ago with pathology reporting 5% of the removed tissue as PCa. No action was taken on age basis and he is still going strong without any urination problems!!

I was treated for BPH since 1990 and only discovered PCa in October 2015. My PSA never went above 3.8 with final reading 2.62. I was treated with 5ARI drugs from March 2013 to March 2014. I had Open Radical Prostatectomy 5 November 2015 and suffered almost 3 years of pretty severe incontinence, untreatable fungal infection, rashes, mistreated bladder neck blockage and now PMR which may be related to PCa or surgery.  Several months of self catheteration was a problem as I needed to use more force than I was supposed to causing some concern. I believe Robot assisted surgery would have been worth the substantial extra cost.

I needed to do much more research during BPH and PCa stages. Urologists are usually surgeons and will want to cut. Oncologists may prefer radiation when maybe wait and see is perhaps the best option. This forum and the internet will give you all the help you need to ask your urologist the right questions. This site seems to link Urologists along with Lawyers and Politicians.  Barrie Heslop

 

There is a HIFU thread in the forums.  I have never heard about this before, so thanks for mentioning.  I will also look it up.  Btw, there's a guy who said his PSA scores went down from Wim Hof breathing method.  He bought the Carney book and I found his post about his blood work in that big online bookstore.  I have also recently (just four days now) been breathing with Hof's and Stig's technique and my Systolic has gone down from 150's to 130's - 140's. 

You mention fluctuating PSA numbers.

My question is: did you use the same pathology lab every time?

As to biopsy: ideally you have it AFTER a MRI is reported on by an expert in

prostate reporting. You don't want a generalist radiologist reporting. You must

have an expert.

As to biopsies: I had a transpereneal biopsy by the guy I wanted to operate on me.

Bear that in mind as many surgeons will not trust a biopsy conducted by another surgeon.

Transpereneal is the safest apprach with much less risk of infection.

Good luck.