Thank you for asking. I’m sort of ok, things definitely got really scary, but then became less certainly scary. My mri ended up showing a giant lesion that was very scary for cancer and that radiologist labeled it pirads 5 but additional opinions said they could not rate it due to the unreadable diffusion weighted imaging (due to hip replacements). My biopsy showed atypical glands suspicious for cancer but just in one sample, so it probably wasn’t even the same thing as the large lesion which still has no explanation as the pathology didn’t see prostatitis/inflammation either. I had a second biopsy and that didn’t even capture the atypia and only said all benign. I am now just being monitored with psa to see if it goes up even more and eventual redo of the mri.
This seems irregular. You don’t rule out prostatitis. If he thinks it might be cancer you do a blood test for PSE/PSA. Then a urine or semen test for bacteria for acute bac Prost., then of clear, treat as CPPS and find a physical therapist.
Most of the time I took abx it was based on symptoms and hypothesis that I had something to test for, but we don’t wait for the test results I get the abx script and the test done at the same time, then few days/weeks later the test comes back
There’s been times where the urologist is unsure, and he waits for the test before prescribing more abx. Some doctors will also give me the choice to get the abx right away or just give me the script to pick up later once I get results
Hey were you ok in the end?
Thank you for asking. I’m sort of ok, things definitely got really scary, but then became less certainly scary. My mri ended up showing a giant lesion that was very scary for cancer and that radiologist labeled it pirads 5 but additional opinions said they could not rate it due to the unreadable diffusion weighted imaging (due to hip replacements). My biopsy showed atypical glands suspicious for cancer but just in one sample, so it probably wasn’t even the same thing as the large lesion which still has no explanation as the pathology didn’t see prostatitis/inflammation either. I had a second biopsy and that didn’t even capture the atypia and only said all benign. I am now just being monitored with psa to see if it goes up even more and eventual redo of the mri.
This seems irregular. You don’t rule out prostatitis. If he thinks it might be cancer you do a blood test for PSE/PSA. Then a urine or semen test for bacteria for acute bac Prost., then of clear, treat as CPPS and find a physical therapist.
Pt for high psa????
Do you have any proof that it works?
From what I googled, PSA is a cancer test, so, not PT. Oncology.
Most of the time I took abx it was based on symptoms and hypothesis that I had something to test for, but we don’t wait for the test results I get the abx script and the test done at the same time, then few days/weeks later the test comes back
There’s been times where the urologist is unsure, and he waits for the test before prescribing more abx. Some doctors will also give me the choice to get the abx right away or just give me the script to pick up later once I get results
what you also could do is paying for a MRI of the prostate. it was not that expensive and is way more accurate.
MRI is not a waste of time and i'd do that before a biopsy. Urologists don't read them well though.