MRI result

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Just had the phone call for my MRI result (my PSA had been 15.6)

Left & right have suspicious areas. It appears to have broken out of the capsule

but as far as they could tell me , no obvious spread to lymph nodes or bone.

They couldn't tell me the Likert score for the MRI itself but for staging I think the above would put me around a T3 (with addition letters to follow)?

Now awaiting biopsy appointment.

They said I had a normal sized prostate (31cc?) so asked what could have been (still) causing) my intermittent urinary issues -
if not the cancer pressing on the urethra?

She couldn't answer that.

Millibob 2 hours ago

Hello Patrick (Patrick100022a3b9)

Reading the above I think a bone scan would be beneficial as well as the Prostate biopsy to come up with a full treatment plan.

Patrick100022a3b9 said:
It appears to have broken out of the capsule

With that statement I think I would be asking about starting Hormone Therapy ASAP to put the Cancer to sleep and stop any further potential spread.

Patrick100022a3b9 said:
if not the cancer pressing on the urethra?

This was an issue I had - the cancer had caused the Prostate to grow, it grew into the urethra causing issues. These were fixed by fitting me with a catheter until I could be booked in for a TURP operation where they "shave" the Prostate. Link here:

T U R P Operation NHS.

You can read my full journey by clicking on my name or avatar.

I hope the above helps - any questions - just ask.

Best wishes - Brian.

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Agent99 22 minutes ago in reply to Millibob

I've always wondered how TURPS works. When they insert the various tools through the end of your penis do they cut through the wall of the urethra to get to the prostate (and then stitch it back up again)?

As a note of encouragement for people having HT and RT: I have an enlarged prostate and before treatment I would visit the bathroom in the middle of the night about 50% of the time. 4 months after the completion of treatment and I don't get up in the middle of the night at all.

Millibob 4 minutes ago in reply to Agent99

Hello Agent99

They use a Resectoscope and it's so thin it passes through the urethra wall without causing any damage.

When I saw my surgeon before the operation he asked me if I knew what he was going to do. Having done my homework I explained the operation and he was so impressed he said I could teach his students!! . Later in the operating theatre as I had chosen the epidural he talked his way through everything he was doing. (We did have a break to listen to the Pop master Quiz on the Radio).

Although I don't do pain (my threshold starts at nothing and tapers off) and I can't stand needles and the sight of my own blood I found the whole experience fascinating.