Should i have biopsy tests done

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Hi everyone i am just starting the journey down the psa road i am a 53 year old male and my psa level has come back as 4.56 which they say is high for my age and it should be no higher than 3 ?. Now they would like me to have a mri scan along with biopsies. I am not too keen on having the biopsies done and would rather not i already suffer from spondylosis of the spine and can suffer great discomfort in general especially in the mornings i have also read mixed reports on having this done. Please correct me if i am wrong but surely the mri scan would pick up if i was to have anything untoward going on and further psa test to monitor the situation before taking this step ?.

  • Hi Marlin

    When my journey started at the end of 2012 it all sounds similar to yours.

    Had a Psa test at GP, came back about 4 ish, slightly above where it should be.

    GP arranged for specialist consultation.

    Specialist wanted to do MRI followed swiftly by a biopsy .

    I said let's do the MRI first and see what happens, as u say u can tell a lot from a Mri.

    Anyway the MRI did show something and I went on to have a biopsy but I still wouldn't have a biopsy done until the MRI results were in and studied.

    After all if nothing showed on the MRI u could monitor the psa for a while .

    Steve

  • When I first saw a urologist in 2018 he did a DRE and said he could feel something but it was best to have an MRI scan that would then determine if a biopsy was necessary but also said it was possible that the cancer might not trouble me for 8-10 years. So i would have thought it best to have the scan first as no further action may be required. Also I found the biopsy unpleasant and uncomfortable but no where near as bad as was expecting.

    Good luck with whatever you decide.      Reg

  • FormerMember
    FormerMember

    I agree Scan first.  Having more blood test to see if you PSA is rising would also help.  
    This Prostrate  journey we are on is made up of lots of little steps. So one thing at a time.     
    on the biopsy’s if you in the future need to get one do a guided biopsy. it is guided to exactly the suspect area.
    Try not to worry to much ( easier said than done ) you can take your time to find the best way forward for yourself.

  • FormerMember
    FormerMember

    I agree Scan first.  Having more blood test to see if you PSA is rising would also help.  
    This Prostrate  journey we are on is made up of lots of little steps. So one thing at a time.     
    on the biopsy’s if you in the future need to get one do a guided biopsy. it is guided to exactly the suspect area.
    Try not to worry to much ( easier said than done ) you can take your time to find the best way forward for yourself.