Do i need a prostate biopsy to tell me if i have cnacer ? hospital said that's the only way to know.
My Urologist told me that the only way to determine I had PCa is have a biopsy.
Great really don't want one. did yours all go ok
In the past that was the case, but mpMRI will tell you if you have PCa and will also stage it. It cannot give you a Gleason Score (ie it can't tell you how aggressive it is)
So a multiparametric mri will also tell me if i have cancer ? that's if they will give me one. i just don't want to risk getting an infection from the biopsy because i have Emphysema
I had a TRUS biopsy, and a MRI guided biopsy. They are invasive, the TRUS boopsy wasn't too bad. But the MRI guided biopsy was the worst, because they took more cores out.
If it saves your life get a biopsy.
They should in any case do an mpMRI before going ahead with any biopsy in order to do a fusion biopsy (using the PCR data to map where to go along with Ultra Sound guidence).
In fact the risk of in fection is low but it is present. So much depends on the skills of the team - these seem to vary hugely.
If the mri tells me i have cancer and what stage it is, i can't see the point in the biopsy.
Lol my 12 core PCR fusion biopsy was alarming but not painful. I agree with your point "if it saves your life" but it is only now mainly a tool (an important one) for decision making. In the past it was key to diagnosis but now only to how fast you must act. The mpPCR will at least give you the answer to PCa or no PCa along with the staging of it
You would want to know your Gleason score, and find out if the PCa is agressive or non aggressive. You can find this out with genetic testing, using your biopsy remains. That is what I did, I had mine genetic tested. In my view a Gleason score is important to have. I i
Ok but they told me they want to do the biopsy first ? doctor told me he can't feel sulcus and the prostate felt uneven.
What a strange way round. A biopsy without MRI guidence is just as likely to be negative even if you are positive just because it has a good chance of missing any tumour cells.
I would ask for a second opinion and go to a unit with mpMRI like Brighton.
They said when you first arrive they give you an antibiotic to take and the biopsy is done with ultra sound ? i have told them i don't want one and not taking any tablet until they have done other tests and give me some idea if they think it's cancer or not first. I am driving to hospital and on there letter it says make sure you got someont to take you home, so hopefully me driving will put them off doing my head in over the biopsy.
It's called One stop biopsy clinic
I've just checked their website. They are out of tune in their approach with all the top urologists. What more can I say. Ask for a second opinion somewhere where they are a little more up to date.
Don't have it done. A TRUS (trans rectal ultra sound) guided biopsy is just used to guide the needle to 6 or 12 points in the prostate in the hope of finding tumour cells if they are there. Many times they miss them in people with PCa. If mpMRI is done first and PCa identified, the biopsy can be targeted to where the tumour cells are.
Ask for a second opinion.
In my case, the doctor opted for an MRI to identify which part, if any, of the prostate is suspicious, then zoomed in with a biopsy.
Biopsy was positive.
If you want to be sure have rectal exams first it wil give indication of possible cancer,
then if the doc.advice you to have biopsy go for it ,but remamber TRUS biopsy dose not cover most of the prostate, the template biopsy covers more but it is not pleasant,
That isn't really true. You can have a 3T MRI done and it will show if there is something to worry about or to biopsy. Don't be roped into a blind biopsy. I would insist on an MRI for myself, before ever going through a biopsy. Just my two cents.
Which website is that ?