Don’t do surgery without second opinion. Mine went to. 7.5 back to a 5 then back to 7 then back down. I had 3 biopsies, with one showing very small grey area which could possibly be cancer but doc said so small that the biopsy might have taken it. He says I’m just one of those guys whose PSA fluctuates.
Make sure no sex 48 hours before PSA TEST!
I’m back to checkups every 6 months. Upside he prescribed Cialis in case of ED probs, but it helped more with urine evacuation! Cheap now too cause it lost its patent.
I think your age matters regarding the path forward. Most men will get it. My dad was just diagnosed.....he is 87. They are going to monitor PSA scores....the C is clearly not growing fast.
I’m 56, if it were me, I would have the surgery so I never had to think about it again.
Good luck
Thanks. Yes, I’m seeking a second opinion on the latest labs. They searched long and hard for the cancer based only on PSA levels rising (which is not always a good indicator.) First two came out negative a year apart. Doctor advised an MRI-guided biopsy. They found a very small single core of Gleason 6 in less than 3% of the core. Decided on active surveillance.
Changed urologists and the new one was much more aggressive with diagnosis. Another (4th) biopsy found the same small amount of Gleason 6. He still wasn’t happy and ordered an Oncotype genetic test on the material which showed intermediate risk. The last biopsy found 2 cores of Gleason 6 with one core near the apex of Gleason 4+3=7 (30%).
I’ve developed what I consider a healthy skepticism of the health industry, knowing that there are many economic incentives for everything they do. So hence, the second opinion. I’m looking forward to a conversation with the urologist to gauge his reaction. That will say a lot.
Please read post 8. This notion regarding sex before the test cannot be stressed enough. I would even go 72 hours to be safe!