Joe 702: Your question of what to do if further testing reveals you have cancer is unrelated to the current controversy regarding routine PSA screening and its effectivenessin saving lives. If furthere testing shows you have prostate cancer, you'll need to make a decision regarding treatment, and I hope by that time you've read everything you can get your hands on regarding this disease and its treatments.
If your real question is, "should I have this biopsy?" then I guess the answer would be different. Generally speaking, I would want to know if I have cancer, and if so, what the volume of that cancer might be and what its Gleason score is. If it turns out to be Gleason 6 and very low volume, active surveillance might be the most appropriate course of action. But, if a more aggressive variety is found, surgery or radiation treatment would probably be advisable.
But, in your case, if I were in your shoes, I'd be probably be seeking a second opinion on whether or not another needle biopsy is warranted at the present time, or whether it might make sense to wait six months or a year and then have another look.
I can't refer you offhand to a source for that 40k per year figure, but my own experience with the PSA test is that it served me well in ridding myself of a potentialy aggressive cancer.
I thought the report was also about
getting procedures done for cancer finding that may not be needed unless I misread or heard of that report.
My first urologist agree with the second urologist on getting the transperineal biopsy by the second urologist.
He said with the way the PSA has been rising,it's a good move.
Thank you for your opinions on the Gleason 6 and low volume and the AS and the more aggressive PC.