The prostate: To have a biospy or not

Morning

I am 78 years of age, in ge eral good health, active daily gardener not obese, non alcohol drinker, no smoker but a recent contrast MRI scan has revealed a slight lesion (Consultant definition) on my prostate.   Symptoms are urinatingonce per night sometimes twice per night.   The biopsy proposed is a transperineal biopsy.

Given my age and the possible side effects I am trying to decide whether to have the biopsy or not, given  that it may or may not give a true picture and therefore the possibility of a repeat.  Should I have the biopsy or not and if not what possible treatment would be avialble to me.   The Consultant told me that he 'thinks' the lesion is not active but needs to confirm that

Regards

  • Hi msplegal and thank you for your post.

    I'm sorry to read about your situation.  It does sound like you have a difficult decision to make.

    I am afraid that without being part of your care team it is difficult for me to advise you on whether to have the procedure or not.  I would advise you to try and speak to your hospital team or your GP. Do you have a specialist nurse you can talk to.

    We have information about transperineal biopsy,  and  Prostate Cancer UK also has information which you may find useful in helping you to come to a decision. 

    Prostate problems  are often seen in men over the age of 50, and generally  treatment would depend on the results of the biopsy. If you decide not to have a biopsy then I would speak to the hospital specialist about the options available. It may be they could treat your symptoms and not the cause.

    I hope you find this information helpful. 

    Please get back to us if you need any more information or support.  You may find it helpful to talk things through with one of the nurses on our helpline.  The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    Kind regards,

    Tina