Inconclusive Prostate MRIs, Targeted Biopsy, Second Opinions for Pathology | Mark Scholz, MD | PCRI

Dr. scholz, please loose the beard. You don't have a fat chin or neck to hide and you'll look better without it.

Perfect, a very good informative video.👍🏻🙏

Best tie yet!

Me gustaría tener estos vídeos en español, soy un sobreviviente de cáncer de próstata

My father is 67 years old, His PSA was 1.79ng/ml 4 months ago and prostate size and weight was 2.1 x 2.4cm & 35.02gms but his MRI findings were *suggestive of two PI-RADS 4 lesions in the the right and left transitional zone of
prostate gland, mid sector & PI-RADS 3 lesion in the left peripheral zone. Transrectal ultrasound-
guided biopsy can be performed for confirmation.*
He was very reluctant to get biopsy because of the risk of infection, the doctor asked him to wait for few months and repeat the PSA and ultrasound KUB. Now his lesion size is 3.1 x 2.9 cm and prostate weight is 43.69gms but PSA has dropped to 1.57 which is good. He is still reluctant to get biopsy, what other options does he have. Can any treatment be performed without he getting his biopsy. We are very confused as we are stuck between the risks on one side and PSA being normal on other side. He only has urge to pee, other than that he doesn't have anyother issues. I would be really thankful if you could guide me. Thank you.

MRI READS 50 50 chance of having cancer , PSA DROPPED from 24 to 14 in a few months. Not sure if avoiding the Biopsy will be detrimental. I do have a very enlarged prostate which I believe is the reason for the high PSA.

hmmmm.....let's hope one day we don't wake up and find multiple eposures to the mri contrast agent gadolinium wrecked havoc on our bodies

I have 6 cancer in one core out of 15 the sample was to small for genomic testing my Doc want me to go on Casodex is that a good idea

Thank you so much for this channel. It answers so many questions. We all love Dr Scholtz

WINTER IS COMING...LONG AND COLD. CLOSE THE DOOR...THE FIRST RUSSIAN SNOW IS FALLING.

My MRI showed a PI-RADS 3 lesion. My urologist said I just needed to monitor PSA every six months. I have the MRI almost six months ago because my PSA was elevated (about 6). My urologist said it was high because my prostate was 70 ml and we should use PSA density. What should I do? continue as is, ask for a targeted biopsy, or something else? Thanks!

Targeted biopsy: Accuracy of transrectal vs perineal? Availability of targeted perineal bx?

I had an MRI because my PSA was 6.3.
I had Radiation for rectal cancer in 2010.
When my Urologist went over the MRI results he said that nothing was shown on the MRI but my prostate had shown the effects of the previous radiation.
He did not actually say that the MRI was inconclusive but it has me wondering.
Waiting to do another PSA in a month.
If still high he he wants to do a random biopsy. Should I take the MRI disc elsewhere to be evaluated? Or possibly redone?

The doctor I just saw strongly suggests a biopsy. When I asked why not an MRI first, he dismissed it, saying it wasn't as good. He said: "A negative MRI doesn't mean that you don't need a biopsy." Can you explain why an MRI is better? And would you need a biopsy after, in any event? Thanks...

Who do you contact to get second opinion on pathology at Sloan Kettering Hospital

Does PI-RADS 2 still need a biopsy? and if it does, should it be a targeted or systematic?

I refuse to ever get a biopsy ever again; NO MATTER WHAT!!!!!!! MRI Yes.

Is it possible 2 radiologist have divergent readings on the same mri? For example, different gland size, different pirads rating, different lesion size. What should someone do next? A third opinion???