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First, thanks for all the helpful advice last time around. Thanks to you guys I avoided the needle biopsy and opted for an MRI. My PSA is 4.3 and 4.5. Last Uro wanted to do a Turp so I got a new Uro. She is the one who wanted to do the needle biopsy without any imaging.
The MRI was negative with no lesions suspicious for prostate cancer. It did show:
- Prostate size volume 49.4 cc;
- area of diffuse increase perfusion suggestive of prostatitis;
- transition zone findings enlarged with nodules consistent with benign prostatic hyperplasia;
- Bladder is thickened and trabeculated, likely related chronic bladder outlet obstruction;
- Left ignuinal hernia
- Small bilateral hydroceles are noted.
So what's next? What procedure should I consider? Would self Catheterizing help restore bladder function? Help me sleep longer at night as I'm getting up nearly every hour now.
Is 49 cc particularly large? Is this large enough to warrant PAE? Should I get a cytoscopy now to determine where the blockage is?
Thanks again everyone for the advice.
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