Husband increase in PSA

Xmaslover:
He might ask his doctor about Valium to help him relax during the procedure. I always found it helpful. Men in white coats poking around my nether regions with spring-loaded gadgets that shoot needles out the end... make me nervous. I'm funny that way. I think someone already mentioned the Valium. It's a good idea.
Like I said before, it is borrowing trouble at this point to talk too much about treatment options since most biopsies are negative. But when we say he should take the time to look at his options we are saying that he should talk to other doctors who specialize in other treatments. Urologists are surgeons and they tend to talk about surgery. It's what they do. It's a bit like shopping for cars. If you pull into a Cadillac dealer and the wheels fall off of your car you are likely to be offered a Cadillac.
The other options are mostly various kinds of radiation. All of the major treatment options tend to do equally well in terms of disease control most of the time. But they have different stories to tell about side effects.

Well, the biopsy is over with! He’s doing ok sore and tender. No blood at this point.

He was nauseous at one point and was very pale but it passed quickly. He received a shot in butt for antibiotic so I’m thinking that’s what caused that.

Now the wait is on for results. I’m actually more nervous now waiting for results than I was before the procedure.

The doc did say his prostrate was very enlarged but she didn’t feel any nodules so holding out that’s a good sign.

Thanks again for all your responses

Hi everyone,

We received the results yesterday and we are looking at Gleason 6. 3 +3

2 out of 14 cores with less than 5%

He will be on active surveillance. The plan is PSA again in 6 months. Then again at 12 months with an MRI and another biopsy.

He is ok with this plan. I was worried my hubby would want it out even at this early stage. He seemed kind of freaked out about it even at this very low risk when we discussed it. The doctor was great and put him at ease explaining everything and the risk of treatments. She basically said “live your life”. As long as we watch it carefully we’ll catch anything in time.

Thank you all for your input.

Best wishes to all on your journey.

Xmaslover, G6 is relatively good news. We have folks here who have been on AS for years, with no sign of needing treatment. So thats really good.
I don't want to complicate your seemingly simple straightforward situation. But just a suggestion, for an extra measure of safety... get a second opinion on the slides from Johns Hopkins. Reading prostate slides has an element of subjectivity to it. And many local pathologists read all kinds of slides, not just prostate. Jonathan Epstein and his team at Hopkins are solely focused on reading Prostate slides and are known as the gold standard. If you ask your urologist to send the slides to Jonathan Epstein at Johns Hopkins, he will likely know exactly what to do. If not, just google "second opinion service prostate pathology Hopkins"

My biopsy was Gleason 8(3+5). Slides were sent to Epstein, who I spoke with on the phone after he read them, and he said G6 (3+3). His opinion was later confirmed by MSKCC Pathology. This completely changed my course of treatment.