What do you mean by "a shadow" in your MRI?. These days mpMRI give a more precise clasification based in the PIRASs rating. A PIRADS of 1-2 means that probably there is nothing to worry about
. However, a PIRADS 4-5 means a high probability of significant disease. A biopsy is still the only way to finally diagnose PCa. But you already have a diagnosis. I would seriously consider treatment if your MRI shows a high PIRADS lesion. Finding high grade PCa with further biopsies may be difficult. Listen to what your uro says, after so many tests he knows about
your prostate much more than we can ever do.
Most people never suffer incontinence after surgery or become continent a few months after it. Radiation is not usually associated with incontinence, though it may have other secondary effect. Apparently, radiation gives better outcomes with respect to ED. You shoud decide what it is most important for you and assume risks.
Your PSA is worrisome, though it may be caused by BHP (what is the size of your prostate?) or prostatitis. Your urinary symptoms are most probably due to one of those problems or both of them, not to PCa.
67 years old.
PSA: 2008:2.8; 2012-2016: 4.5-5.5. 2013: two biopsies (ASAP, neg) and a neg mpMRI.
Feb, May, July 2017: 5.5, 6.1, 7.6; free: 25%-20%
mpMRI, July 2017: PIRAD5 5.
Dx August 2017,Gleason 3+3, 2 cores, left 5%, right 3%.
Prostate more than 100 g. DRE +.
Manual LRP, november 6, 2017.
Bilat., 30% and 5%. G 5+3. Clean margins, not other features.
psa 2018: 1-31:0.08; 4-16: 0.05; 7-16: 0.03
Post Edited (jmadrid) : 7/25/2018 4:33:00 AM (GMT-6)