RiderOnTheStorm has given great advice. Last year I was very fortunate to get a transperineal ultrasound-guided MRI fusion biopsy. My doctor was “only” 36 a kid lol. I’m also thankful that my primary doctor recommended that “at an abundance of caution” I go to a urologist when my PSA went from a 2.89 to a 3.49. In the end I had Gleason 9 prostrate cancer. Don’t let PSA be your only guide. I’ve had friends with PSAs north of 7 with much less aggressive cancer. There is also a simple urine test “ ExoDx Prostate Test” that can help make the decision whether or not to get a biopsy. In this day and age if unfortunately you need a biopsy don’t get a transrectal.
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