I’ve had two done (both negative) and it was just because my PSA was about 6.0. There was no other indicator of any problem. PSA is a terrible test because it can spike for reasons other than cancer. Even a bowel movement can temporarily elevate it.
It’s not a pleasant thing to do. I could feel every needle poke. Semen was dark brown (dried blood) for a while.
But the worst part is that I now get 1-3 prostate infections per year, which are very unpleasant. Apparently, it’s impossible to fully rid the prostate of the bacteria that got injected by the needle, so the population gradually regrows until I have another outbreak weeks or months later.
I would never get another biopsy because of one slightly elevated PSA level.
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