The first thing, is that pain is a very personal and subjective thing. I would never discount someone else's level of pain. Well trained and experienced doctors and nurses know this all too well, which is why they use the old 1-10 pain scale with patients to get to some level of understanding of the patients true pain level.
With my first biopsy, didn't know what to expect, never had one before. It didn't hurt me as much as it was uncomfortable, and being a straight guy, didn't like feeling violated up my anus. To me, the snapping noise is what spooked me, as I am ultra sensitive to noise in general. No pain medication ,drove myself home, fine by next day. A year later, same doctor, offered local pain med, so I said sure. When he shot the stuff with the needles, the pain from those needles were light white bolts of pain from my spine through the tip of my penis, it hurt like hell. Once deadened, and calm again, the cores didn't hurt a bit, but the same snapping noise unglued me. Eight weeks later, 3rd biopsy, I told the same doctor, no pain med this time, just get the job done. Having had it done both ways, I knew what to expect, the short pain of the cores being taken were far less painful than the needles to deaden it. That's my experience.
I have had so many scopes and catheters shoved up my penis in 10 months, and its not over yet, that yes, I have developed both a fear and a phobia about the subject.
My new doctor thought it was barbaric that I underwent a bladder neck/urehtra dialation procedure with no pain med or local. I agree, I sat through it, felt every inch of pain that was a full 10 the entire time. But, it was an emergency situation, the doctor knew he had to keep going, or else we would have been in the ER operating room near his office. The problem was he was out where I live, and at the sattelite office, they didnt have all the right gear he needed. That has been remedied since.
Toughing out pain is ignorant in medical circles. It doesnt make one more manly to avoid prescription pain pills if needed. Pain control leads to proper healing and less chances of relaspes in recovery, any nurse will tell you that in a heartbeat. Now, if you honestly don't need it, and Advil or Tylenol class OTC meds are enough, then that is what you should do.
My personal threshold of pain was much more a full year ago, then it is now, but then when I think of all I have been subjected to, its no wonder.
Don't think we should be comparing pain like this. If a guy needs to be "out" for the biopsy, so be it, more important to get the biopsy right, if you need nothing, then so be that too.
Just my thoughts,
David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out 38 days, 9/14/9 - met 3rd rad. oncl., agreed to start radiation, does not rec. HT at this time, mapping on 9/21/9