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My husband has been diagnosed with Pirads 4 of 13.5,mm..Hes going to see the urologist today.help pl

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Barbsi
Barbsi

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  • michaelrobin34
    michaelrobin34 Barbsi

    Posted

    hello

    This must be very worrisome I know, but i too was diagnosed with three lesions one Pirads 4 and too Pirads 5. naturally i feared the very worst!

    I then had a Transperineal Biopsy which resulted in nothing! To say i was delighted was an understatement but at makes me a little dubious about how these radiologists interpret MRI scans! Two years and Two scans post biopsy my pirads scores are I and 2! Not sure whether your husband has had the biopsy yet as some hospitals do biopsy first! But if possible elect for transperineal as apposed to Trans Rectal as its much much more accurate and targeted and much less chance of infection post procedure!

    i hope all goes ok x

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    • Barbsi
      Barbsi michaelrobin34

      Posted

      hello

      thanks for your reply!

      I m very worried about my husband, so i decided writing on this forum for a bit of support..

      He has been suffering from pancreatitis on his early 30" he' s now

      55 years old and his father had prostate cancer caught early and treated well.

      this is the fifth biopsy that he does in the course of 9/10 years

      His PSA is high due to this form of pancreatitis reaching between 6,7,8 even 10 !

      The last MRI that he did last week resulted in a 13 mm nodule, PIRADS 4

      without regional extensions.

      He will go to see the urologist this week!

      THANKS

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  • barney34567
    barney34567 Barbsi

    Posted

    I am sorry for the situation your husband is in.

    I was diagnosed with Pirads 4 gleason 9 carcinoma and have been treated with most of what is available.

    My thoughts are:

    1. Michaelrobin is right: if a biopsy is needed then only have a transpernial biopsy which has a proven LOWER risk of infection than a trans rectal biopsy;
    2. Ideally the radiologist who reported on your husband is a specialist in prostate image reporting. If not, then he could easily see a Pirads 4 when there is a Pirads 2 looking right at him;
    3. How is your husband's PSA levels?
    4. If you decide on a biopsy then first decide who will operate on your husband if that is the way you want to go and choose THAT surgeon to perform the biopsy.
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    • Barbsi
      Barbsi barney34567

      Posted

      HELLO,

      thanks for your reply,

      my husband suffers of Pancreatitis and his PSA is mostly high to very high only sometimes.

      he had 5 biopsy in the last 9 years

      but this time the MRI resulted in a 13 mm nodule PIRADS 4 without regional extensions.

      He will see the urologist this week.

      thank you!

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    • barney34567
      barney34567 Barbsi

      Posted

      I see. Make sure you see a highly experienced urologist, ideally working in a teaching hospital. While all urologists do very similar work, their results depends on the volume of patients they treat.

      What was he lastet PSA reading? What was it a year ago?

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    • Barbsi
      Barbsi barney34567

      Posted

      Yes this urologist he's a very experienced one, and also we will thinking to get another opinion as well..

      his last PSA was 8.5 three weeks ago which is high i know but considering that it was 10 a year ago is a good improvement.

      Thank you!!

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    • barney34567
      barney34567 Barbsi

      Posted

      Glad I could help.

      With the PSA, the key is not the number but the change.

      You can have a PSA of 9 with cancer and a PSA of 600 and no cancer.

      For instance, a doubling in a year is a bad sign.

      In your case the PSA has fallen by 15% in a year so that is a good sign.

      By all means see the experienced urologist. If you think he makes sense and others consider him as highly reputable, there may be no need for a 2nd opinion at this stage.

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