Instructions
You are an intern in the urology clinic. Bernard Gallagher, 64, has a rising PSA. His MRI is back and the urologist recommends a transperineal prostate biopsy.
Explain the results to Mr Gallagher
Explain the prostate biopsy and obtain his consent
- You do not need to take a history or examine the patient
Results
PSA 8.9 (5.1 a year ago). MRI: 12 mm PI-RADS 4 lesion left peripheral zone; no spread beyond the gland.