My timeline - may be a useful for newly diagnosed men

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Below is my experience. Hopefully it will be useful to men newly diagnosed who aren’t sure what to expect, when and in what order!  I would imagine that my experience won’t be radically dinferential to others. It’s certainly a journey! 

20.08.25 - PSA blood test - 18.6

26.08.26 - second PSA blood test - 17.6

29.08.25 - GP appointment to discuss PSA result

29.08.25 - Fast Track referral

03.09.25 - MRI scan

09.09.25 - met urologist to discuss MRI scan findings - cancer likely so need biopsy

15.09.25 -  biopsy

25.09.25 - urology meeting to discuss biopsy results - Gleason 4+3

01.10.25 - renal function blood test for CT scan

02.10.25 - bone scan

03.10.25 - CT scan

07.10.25 - call from urology re scans - clear

13.10.25 - Multi Disciplinary Team call - advised to meet both surgeon (prostatectomy) and oncologist (ADT / radiotherapy) to discuss 

15.10.25 - Cancer Care telephone call from my GP practice - useful and supportive 

16.10.25 - met urologist to discuss surgery option - I indicated that ADT / radiotherapy was my preferred option but I have had microscopic colitis (bowel issue) so need to clear with oncologist 

16.10.25 - started course of 28 days of Bicalutamide

27.11.25 - hormone treatment injections started - three monthly Decapeptyl injections 

14.11.25 - appointment with Oncologist scheduled to finally confirm ADT / radiotherapy   

  • What was your staging according to the MRI?

  • Hello Kevin ( 

    Thanks for your post - that's a great time line and to be honest you are one of the very few who get sorted in a reasonable time.

    Sadly the NHS is under pressure and there are plenty of Community members who either wait 6/9 months from initial GP meeting to start of treatment or who like me have no choice in their treatment. Most of us have had to advocate for ourselves to get where we are now.

    If only it worked like clockwork in every case.

    Best wishes - Brian.

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  • Thanks for posting your timeline and what to expect.

    My husband was red flagged to Urology regarding his elevated PSA and symptoms. When he telephoned the hospital he was told it would be at least 6 1/2 weeks before an initial consultation. He has now went privately to see an Urologist and is having an MRI scan tomorrow.

    Sending you best wishes.

  • Wow 6 1/2 weeks is a long wait! All the best for you and your husband, hope the MRI goes well. 

  • I hadn’t realised how slow things can be - I guess I’m just lucky. The NHS in the Exeter area is really jacked up.  

  • that's the Likert score, I mean the tumour staging from MRI , T1, T2, etc from MRI

    how contained in the prostate or not  eg T2 N0M0 etc

  • Ah OK. My letter said ‘Possible local extracapsular extension. Radiological stage potentially T3a N0’. But subsequent discussions after the CT scan said perhaps T2. So I’m not entirely sure, hopefully will be clarified when I meet the oncologist. 

  • Hi  .  Textbook diagnostic pathway. Well done NHS.  Incidentally, PIRAD 4 is not necessarily bad news - it just means they have a clear image of an area of suspicion. ( Are you quite slim by any chance - less tissue to get the MRI through.).  Anyway, good news if they’re thinking T2 off a high teens PSA.  Notwithstanding this, if you go down the radiotherapy route, T2 or T3 can be dealt with successfully to cure - the plan of the radiotherapy target areas will take all this into account, with no difference in delivery and probably no difference in (hopefully temporary) side effects .  AW

  • Thanks very much for your positive response, most helpful.