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[quote=Anonymous]My dad went through this and I read basically the whole internet. I am a little confused about your urologist's recommendation. MRI is not diagnostic so it could not decisively confirm/ or rule out prostate cancer. Generally, the radiologist reads it and gives a PIRADs score, which is predictive of whether there is likely prostate cancer, and then suspicious areas, if found, are recommended for ultrasound-guided biopsy.

Getting the MRI first is generally thought to be more reliable than biopsy-ing blind in cases of high PSA, which is what some less sophisticated doctors will do. This can miss PC.

What is your PIRADs score? Why does your urologist want to do a biopsy? Is there something suspicious? What are they going to biopsy?

My dad ended up doing MRI, had a super high PIRADs score in three lesions, and has one lesion Gleason 6 prostate cancer that was recommended for active surveillance, meaning they follow up every three months and don't treat it unless it is changing.

I would probably do the biopsy because the doctor recommends it, but I would want to know why they are doing it. Seems like you need more info. [/quote]

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