I decided on an mpMRI first, hoping to avoid a biopsy, it found a 9mm lesion.
I followed up with a 28 core transperineal grid biopsy - which found a second lesion (Gleason 7). That urol avoids offering TRUS biopsies.
Final pathology after robotic prostatectomy found a third cancer (Gleason 6).
I used a different urologist for each procedure. Second opinions are readily available.
Post Edited (shudderingThud) : 5/1/2016 1:29:59 AM (GMT-6)