Truck Driver, With your PSA and free PSA numbers you have to get a biopsy, the other alternative will be much less pleasent in the long run.
I've had a total of 13 biopsies, so I know a little about them.There are several possible ways you can go.
You can go to a doctor that will sedate you. In this case get as many samples as you can, at least 24.
You can find a doctor that gives a lidocane shot, this decreases the pain a lot. Also take a vicodine, this helps with immediate and post pain and won't cause bleeding. (Docs won't tell you this).
You can get a color doppler targeted biopsy. This is by far the best method as it is the most accurate; if there is no suspicious area no biopsies are taken. If a suspicious area is seen only that is biopsied. Rarely are more than 6 cores are taken. If nothing is found then a base line picture is established to compare changes. If cancer is found it can be accurately staged as to exact location and tumor size. A normal biopsy can't do this.
The only problem is there are only a few doctors that are skilled in it's use. Dr Fred Lee in Mich, and Dr Duke Bahn in Ventura Ca are two that I know of; there may be a couple more around. If anone knows of other good doctors that use this please let this forum know.
After 13 biopsies I would only get another color doppler biopsy, even if it meant flying across the country. It's that much surperior to a normal biopsy.