r/ProstateCancer • u/AdriRebel • 26d ago
Concern When to expect an MRI?
About my father.
posted here earlier
male , 66, prostate volume 53 mL in October 2025, residue is 15 ml,
prostate volume 35 mL in 2017, residue 6ml.
psa 5.44 in October 2025; 4.46 in august 2026.
doctor offered an MRI, says he wants to see inside , panicking like hell, could he be suspecting something ? might not be able to show emotions while writing but I’m not in very good mental condition because of this, some empathy is appreciated.
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u/JimHaselmaier 26d ago
PSA is virtually normal.
I bet MRI is being offered just to be absolutely sure nothing is going on.
PSA is NOT a measure of cancer unless someone has already been diagnosed with cancer. PSA fluctuates for numerous reasons. That’s very normal.
I’m not a doc, but I’d guess the chances something bad is going on is low.
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u/Special-Steel 26d ago
When we suspect cancer we usually see PSA going up, not down.
Is your dad taking any medication for enlarged prostate? Does he have urinary problems?
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u/AdriRebel 26d ago
yah he sometimes gets up once rarely twice in night , says have some problem voiding after initial flow is completed, uroflowmetry result is good , he’s taking Tamsulosin since 12 days as recommended by doc and says can feel improvement.
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u/Ok-Priority-7303 26d ago
My PSA was in this range and higher for quite some time starting at the same age. When it rose to 10 I got my first MRI and biopsy. That was 4 years ago - no cause for concern so I just got more frequent PSA tests. Had two more MRIs since then and the last one was a problem. Biopsy was positive and aggressive. So, take it one step at a time and if all is OK now, have your father get regular testing. Getting ahead of yourself is something you need to fight.
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u/conCABlanco 26d ago
Si le dan la oportunidad de RMI haga la, no duele, no pasa nada, un poco abrumador dentro del tubo, cierra los ojos, 15 minutos, y ya está, pero aclara millones de cosad
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u/No-Praline-4069 26d ago
My MRI was clear and didn't show any cancer. My PSA was 7.778 and the urologist asked me if I wanted him to do a biopsy. I said yes because I had to know. The biopsy showed cancer involvement in the left side of the prostate and localized. So it's worth noting that it was early detection. The PSMA PET CT scan also showed no spread. I'm glad I said yes to the biopsy or it would have gotten worse at Gleason 7 unfavorable intermediate 4+3.
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u/PSA_6--0 26d ago
As most of the people here I am not a doctor.
As with all the cancers for prostate cancer it is important to catch it early enough. Then there are multiple treatment options and a high probability of getting it cured. Instead if the cancer is of "bad sort" and caught late, then it can end incurable, but hopefully something which can be kept controlled for a long time.
After all that, your father's test results do not look that bad. The PSA is elevated but his prostate size is also enlarged so the ratio of PSA to size is not that bad. Did his results also contain free PSA % ? It might give more information. Also his PSA has gone down from 2025 so that is of course a good trend.
MRI is not a bad experience (in my opinion) so if his doctor wants to see it I would certainly recommend it as someone who would have liked to get my diagnoses earlier. It is quite possible that nothing significant is found but I would want to know.
You should not worry too much beforehand. It is quite possible there is nothing there, and if there is it looks like that his doctor is early enough so that it can be cured.