Hi
I was diagnosed a year ago with stage 1. PSA was 9. I had a MRI and biopsy. Of 42 cores, two were Gleason 3+3, and two were 3+4. Prostatitis was also found. I was prescribed Tamsulosin. I opted for Active Surveillance.
In Feb this year, PSA was 15.3. Urology suggested I take a month of antibiotics as it might be the prostatitis causing the rise. I did, then had another PSA test in May which came back at 16.1
I had another MRI a fortnight ago which showed no obvious change. I saw my consultant last week. He said I couldn't continue with Active Surveillance and had to opt for treatment. I could choose from external beam radiotherapy, brachytherapy or prostatectomy.
I will admit to being worried about the effects of treatment. Maybe foolishly, or hopefully, I think I could be someone who will die with prostate cancer, not of it. (I'm 64.)
My question is, if my recent MRI shows no change from a year ago, does a rising PSA suggest the cancer is about to spread, or could there be another reason for that?
Thanks everyone.