Welcome to the forum. Sorry you find yourself needing to be here but glad you found us.
Do you know if they have tried treating him with antibiotics? His sudden acute symptoms sound more like an infection that prostate cancer. Often a urologist will try a few weeks of antibiotics and a PSA retest before scheduling a biopsy. Something to ask about
I had four prostate biopsies and never learned to like them but they are more annoying than painful. There are several ways that the discomfort can be managed -- different levels of medication. The option with the least meds is a shot of Novocaine (or a similar drug) to block the nerve to the most sensitive part of the prostate. The next step up is to add a couple of Valium (or similar mild sedation) so the patient is awake but doesn't particularly care about
the discomfort. The tranquilizers help a lot. Or they can knock him out completely. We have guys here who have gone that way, too.
Another possibility is an MRI. If he wants to go that way he might want to go to a major cancer center. He would want to find an institution with a 3 Tesla machine and radiologists who are experts in prostate cancer. There is no guarantee that this will avoid a biopsy. Sometimes the doctors will look at the scan, point at a spot and say "There is something going on here; we should probably do a biopsy to see what it is."
Whatever he decides to do make sure he gets a copy of the results writeup. We can usually help with decrypting the medical jargon.
62 Slow PSA rise 2007-2012: 1.4=>8
4 bxs 2010-2012: 1&2 neg, 3 pos 1/14 6(3+3) 3-4% (2nd
opn. 7(3+4)), 4 neg
DaVinci 6/14/12. "some" nerve sparing on left
Path: pT3a pN0 R1 GS9(4+5)
Pos margins on rt
24 mo ADT3 7/12 - 7/14
Adj IMRT 66.6 Gy 10/17/12-12/13/12
8/2012-3/2015: Incont., Trimix, VED, PSA<0.015.
AUS & IPP installed 3/5/2015Forum Moderator - Not a medical professional
Post Edited (PeterDisAbelard.) : 9/17/2015 9:09:28 AM (GMT-6)