Posted , 3 users are following.
This forum is nothing short of amazing! I have read almost every post. Thank you all for sharing your experiences! I have a lot of the symptoms of enlarged prostate but not too bad at night. Usually only get up twice/night. But during the day need to pee often and sometimes a greater urgency. I had a PSA done (twice) and both times came back at 18.5. That really scared me. Urologist did DRE and said large prostate but didn't think cancerous because no hard spots and the high score could be from prostate just being so large. He did a cystoscopy and said I have a giant median lobe. His recommendation was PVP Green Light laser but I read the side effects and only want that as an absolute last resort if at all.
I went to get 2nd opinion because, in the back of my mind, the high PSA score still weighs heavy on my mind. 2nd urologist agreed that there are no suspicious areas found from DRE but wants to do 12 core (or more) biopsy. He is willing to do an MRI first to see if that shows any suspicious areas and will use that to determine where to biopsy in addition to the random selection. (I'm not agreeing to the biopsy part yet.). He said he would not recommend the laser because the median is pushing in the bladder and using the laser could accidentally damage the bladder. He wants to do a robotic suprapubic prostatectomy.
I am very interested in the PAE based on what I've read but wonder (because of my high PSA score) if I should do the biopsy or...if the MRI comes back clean just move forward with the PAE. I was also thinking (based on info I found here) of having the pca3 test done (if I can find a lab around here that does it.
Any thoughts regarding if I should do the biopsy because of my high PSA score?
If I don't have cancer, I think the PAE is a reasonable option for me (even with a giant median lobe) but would be interested in some feedback. (The side lobes are also enlarged).
0 likes, 27 replies