Prostate Biopsy

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I have had BPH for over 20 years, im 61 and was scheduled for Rezum, doctor tested my PSA and went up from 5.3 to 6.9 in 1 year, now he wants to do a biopsy. why would he want to do a biopsy, since my PSA has always been high? it seems like there is no real number as to what the PSA should be. of course im a little concerned? issue urinating for yeras and urine retention is my big issue. appreciat some insight thnak you

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  • Posted

    Ask him to do an MRI scan to determine if you have any potential lesions then have the biopsy targeted at those areas. My PSA went from 2.90 to 12.0 in 2021 so i had an MRI followed by a biopsy. The biopsy turned out negative thankfully.

  • Posted

    yes have had it for 10 years. currently take 4mg Doxasozin twice a day. prostate 75cc+ . ok for now.

  • Posted

    my bioposy was negative thank GOD

    had rezum procedure today 2/9/23

    thanks for the feedback and support

    • Edited

      How many injections? The uro did not tell you the prostate size?

    • Posted

      1. he did not tell me size.

        im going to ask on monday for my post rezum follow up

        ty

  • Posted

    A better number to use is PSA density. That is the PSA divided by the prostate size. If it is below 0.1 it is normal.

    For example with a prostate size of 100g and PSA of 6.9 the PSA density is 6.9/100=.069, and is normal.

    For a prostate 50g and PSA of 6.9 the PSA density is .138 and is not OK.

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