I am on active surveillance for the last 2 years. My initial prostate biopsy was 2 years ago and showed 1 out of 10 needles cancerous, Gleason 6, slow growing and Prolaris test showing a medium growth rate. I had second biopsy 6 months ago. Before the second biopsy, my PSA was 5 and four months after the second biopsy, PSA was 16. My doctor recommended an MRI based upon the elevated PSA.
An MRI was done 2 weeks ago. Prostate volume 81 cc and two lesions were found. First lesion measuring 0.7 cm x 0.6 cm x 0.7 cm, Pi Rads 4, well contained mid gland and the second lesion 1.2 cm x 0.6 cm x 0.7 cm, ungraded, margins not sharply defined and a slight bowing of the capsule. I have had intermittent infections after the second biopsy and been on a three regimens of antibiotics. I have also experienced retrograde ejaculation after second biopsy. I am thinking that the second biopsy caused my elevated PSA (5 to 16), swelling of my prostate and perhaps I can remain on active surveillance with antibiotics since the MRI showed my cancer being well contained. I am wondering if I should have surgery as recommended by my urologist to remove my prostate.
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