Whatever the doctor orders.
I'd want an mp-MRI fusion guided biopsy next.
It's lost on alot of people (esp. the one's from the more populated and cosmopolitan areas of the U.S.) just how much of this country still is so far behind on this sort of equipment. And therefore, on their protocols and treatments.
If your uro didn't mention one to you .... it's because he doesn't have access to this equipment. (and if they don't have the equipment...."It makes no difference." is soon to follow).
Travel to get one if you have to. (that's what people are referring to when they tell you to get in a structured program. Get in a GOOD one. There's structured programs everywhere....but not all are created equal). They're only created with whatever equipment is available in the area....or, for that matter....in that particular group. there could be a mp 3T-MRI machine next door...but...if it's not in the group your uro belongs to, it won't be in his AS protocol either)
btw...and fwiw...John's hopkins downgraded one of my G6's
What you've got is great news. Just be sure you know what you've got.
PSA 2010 thru 2014...4.0 +/- .7
Dx 12/14 @ 56 yo...2 cores G6 <5%, 1 core G6 20%, 1 core HGPIN.
RALP 11/25/15...3+4. 3-5 mm lateral margin (depending on who you ask). 15% involvement pT2+ PSA's 01/16 .01 04/16 .00 07/16 .00 10/16 .01 01/17 .01
Post Edited (island time) : 3/18/2017 7:41:45 PM (GMT-6)