Why did you want to avoid a third biopsy?

Why did you want to avoid a third biopsy?

Patient Jim Goodacre

Title: Why did you want to avoid a third biopsy?

My protocol is about every two years, I’m at UCSF, and the radiologist would like a biopsy every couple years, and it’s not something that I want to have to go through every couple years so I was overdue for by prostate biopsy.

I didn’t want a biopsy because the last couple biopsies were not an exciting time, I should say the least. Not only is it a little painful, but I’m on a blood thinner, and because I’m on a blood thinner that means that I have to come off that blood thinner, have the biopsy, and then go back on the blood thinner and this last episode caused a lot of excess bleeding, causes dizziness, causes my blood pressure to drop dramatically, it causes a very scary kind of feeling and not something I want to go through on a regular basis, and that’s what a biopsy does for me.

So because I was due for a biopsy, I wanted to avoid that biopsy and so I brought up the fact that I had heard about the parametric MRIs, the physician and I’m with Dr. Peter Carroll, he agreed that the MRI would probably be a good next step, rather than go through another biopsy knowing what kind of reaction I had to it, and why I didn’t want to have it done anyway, so they were very receptive, they said they’re seeing more of the patients starting to switch over from a biopsy approach to the MRI, so I was delighted when I heard that, and said sign me up, and so I have an appointment for six months from now so that’s when I’ll be doing my next MRI.

Closing Title: Share your personal concerns with your physician

Patient James Goodacre describes an adverse reaction to his last TRUS “random” biopsy and how he wanted to avoid another “random” biopsy.
James Goodacre
Active Surveillance Patient

Jim lives in Carmel, California and has been a health insurance broker for over 45 years. When Jim was diagnosed with PC in 2009, he was especially concerned about maintaining his quality of life since his father had experienced serious complications following a prostatectomy. However, with low-grade disease Jim enrolled in the active surveillance program at the University of California at San Francisco. The protocol required a biopsy every two years. 

However, Jim’s third biopsy triggered a serious adverse reaction and in this video interview he discusses his effort to bypass the random biopsy and have a multi-parametric MRI to determine if it’s safe for him to avoid another biopsy at this time. Jim’s urologist agreed and Jim proceeded to have the multi-parametric MRI, avoiding the random biopsy. 

The multi-parametric test found that Jim's prostate cancer had remained at virtually the same stage it had been at diagnosis 5 years earlier, with no measurable progression. That was the good news. However, since the multi-parametric MRI also images the area surrounding the prostate a 1 mm lesion on the bladder wall was found. That lesion would never have been found if Jim had a traditional random biopsy. Jim scheduled a cystoscope for evaluation of the 1 mm lesion on the bladder.

Video reviewed and approved by James Goodacre on August 1, 2015