My God--HEARD My Urologist Wrong-!! NOT HGPIN !!

My Gosh, in the noisy restaurant--I musta meard my Urologist wrong !!

I do NOT have HGPIN--instead....PIRAD category 4 --!

Here is his email I just received (I was asking about my aspirin regimen)
So..I kindly ask--the same group of nice guys...to get back...

Is this any more.."Riskier" than the HGPIN..? Or are PIRAD Cat 4...about the same..?

Below--is his email..
Thanks,
R*
---------------------------------------------------------------
You will have to stop the daily aspirin 7-10 days before the procedure so as not to risk bleeding.

You do not have HGPIN - that is a biopsy Dx. You must have heard incorrectly.
What you have is PIRAD Category-4

I will target those & the peripheral area to see if there is any cancer.

Regards,
Dr. H

What Pratoman said. Take things one step as a time. At this point you're not diagnosed with cancer (you may well never be), so worrying about that now is getting ahead of yourself.

Doesn't change anything. You still need the biopsy.

everything else is pure speculation. All you have right now is statistics and probabilities.


Andrew

When I read your previous thread, I was thinking "MRIs can show HGPIN? I wonder how they can see that." So what your uro wrote makes sense.

Good luck with the biopsy--maybe not how you'd choose to spend an hour of your life, but you'll get through it. I'm a bit surprised they're doing blood work and EKG for it though. Are they planning on knocking you out for it?

Wotan - If you're going for a biopsy, just try to make sure that the uro uses a peri-prostatic (or similar) nerve block prior to the procedure. My uro did so, and I only felt the two small injections of the lidocaine or whatever it was. Felt like when the dentist gives novocaine. After that, no pain, just a sense of pressure when the samples were taken. No after effects either (unless you're worried about Technicolor semen, that is. . .).

Wotan said...
Anyone else...ever have something like this...show up...in an MRI...& it turn out to be..."Benign"..??

The people with benign results tend not to stick around here for the long haul, but certainly there are people who have PI-RADS 4 MRIs that turn out not be cancer. To quote from another on-line forum, from some fellow whose screen name sounds ... familiar:

"A PIRADS 4 lesion can [be] one of many things. Hemorrhage, internal stricture, benign lesion, scar tissue, infection damage, as well as prostate cancer. I had a PIRADS 4 lesion on PIRADS version 1, and it was downgraded to 3 with PIRADS 2.0.

"I have read several posts from men whose PIRADS 4 lesions were followed up with fusion MRI's, and no cancer was found. Some even had more biopsies, all still negative.

"You can drive yourself sick by trying to 'guess your odds'. The usual step now is a fusion biopsy targeting that lesion area. Good Luck."

Wotan, I understand your concern about this, and how difficult it is to keep your mind from racing ahead to all manner of thoughts, but the best thing you can do is try to take things one step at a time.