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Testosterone Replacement, Low T, HCG, & Beyond
Prostate Related Issues
Prostate cancer diagnosis
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<blockquote data-quote="Blackhawk" data-source="post: 278485" data-attributes="member: 16042"><p>1: 3+4 is low grade. 4+3 is more serious. Depending on other factors you may still be good for watch and wait.</p><p></p><p>2: PIRADS 4 is serious, but may be able to be treated by focal therapy. There are many methods of focal therapy. One of the biggest factors for this is whether the lesion is well contained in the prostate or right on the margin. I too had PIRADS 4 lesion, well contained in the transition zone so was a candidate for focal treatment</p><p></p><p>3: If I was turned down on more advanced testing or not receiving adequate answers to serious questions I would keep looking for other doctors/second opinions.</p><p></p><p>4: It may also matter where you are and how much money you have to spend on appropriate care. Many urologists are attached to their own equipment and limited to their own personal training. There have been incredible advances in care yet there are Uros who just want to do radical prostatectomy for nearly everything. I could not get the care and kind of treatment I really needed inm y location and traveled 2000 miles and paid out of pocket for the right treatment. It is a lot of money, but like for you it meant my quality of life for the rest of my life.</p><p></p><p>Also if you havent already, try the inspire prostate cancer forum: <a href="https://www.inspire.com/groups/us-too-prostate-cancer/" target="_blank">Us TOO Prostate Cancer - Inspire</a></p><p></p><p>Ah I see you are in the UK. Problematic within the public health system. Have a look at <a href="https://www.altaklinik.com/" target="_blank">ALTA Klinik - Radiology - Prostate Diagnostics - Prevention</a> You can send your MRI images to them for review as a first step/second opinion.</p></blockquote><p></p>
[QUOTE="Blackhawk, post: 278485, member: 16042"] 1: 3+4 is low grade. 4+3 is more serious. Depending on other factors you may still be good for watch and wait. 2: PIRADS 4 is serious, but may be able to be treated by focal therapy. There are many methods of focal therapy. One of the biggest factors for this is whether the lesion is well contained in the prostate or right on the margin. I too had PIRADS 4 lesion, well contained in the transition zone so was a candidate for focal treatment 3: If I was turned down on more advanced testing or not receiving adequate answers to serious questions I would keep looking for other doctors/second opinions. 4: It may also matter where you are and how much money you have to spend on appropriate care. Many urologists are attached to their own equipment and limited to their own personal training. There have been incredible advances in care yet there are Uros who just want to do radical prostatectomy for nearly everything. I could not get the care and kind of treatment I really needed inm y location and traveled 2000 miles and paid out of pocket for the right treatment. It is a lot of money, but like for you it meant my quality of life for the rest of my life. Also if you havent already, try the inspire prostate cancer forum: [URL='https://www.inspire.com/groups/us-too-prostate-cancer/']Us TOO Prostate Cancer - Inspire[/URL] Ah I see you are in the UK. Problematic within the public health system. Have a look at [URL='https://www.altaklinik.com/']ALTA Klinik - Radiology - Prostate Diagnostics - Prevention[/URL] You can send your MRI images to them for review as a first step/second opinion. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Prostate Related Issues
Prostate cancer diagnosis
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