PI-RADs 5 MRI is prostatitis

I’ll leave this here in case someone with a presentation like mine searches this excellent resource and support space for information.

I, age 59, went to GP with increased trips to the loo - sometimes 4 a night - increased urgency to pee, decreased ability to empty in one go. GP did PSA which was 1.1 but he thought the prostate “felt malignant” according to what he wrote in his notes. Ultrasound was fine but MRI came back as PI-RADs 5. I also didn’t have any obvious symptoms of prostatitis. No pain in the area, no obvious urine infections although I did have what I thought was flu not that long ago and I believe it can cause flu like symptoms. 

The MRI was not typical for cancer. Lesion area diffuse and spread across both lobes of the peripheral zone. Throw in low PSA and it looked a very atypical picture although the lesion responded to the dye they put in very much like cancers do.

Biopsy came back today as all clear for cancer but lots of inflammation and evidence of bacterial infection - acute prostatitis. The Doc was surprised I wasn’t more obviously ill with it. Treatment will be 4 weeks of antibiotics and meds to help relax bladder so I empty better, meaning I don’t leave ‘old’ urine near the prostate which may have been the infection route. Advice to reduce bladder irritants - caffeine and booze and work on my pelvic floor.

PSA to repeat at 3 and 6 months and then a follow-up with urology. 

I am very relieved.

Thank you to everyone who replied to my queries and I wish you all the very best as you go through your journeys.