That's really the crux of my original question -- do I absolutely have to get something, some testing done. What if my GP insists on the biopsy, based on the Urologists orders. Find another Urologist who will recommend an MRI instead? Will the insurance cover it? Find another GP if he insists on following orders?
I would suggest that you are thinking this through in a most unhealthy manner. You and your doctor should be in collaboration not in conflict. Your course of action here is clear.
You will seek a second opinion from another urologist. If the second urologist also recommends a biopsy you will have one.
You do not shop for an answer you want. You look for the most qualified urologist in your area for a second opinion.
If they feel a fPSA is needed, they will order it. If they feel an MRI is need, they will order it. If they think active surveillance is an option, they will give you that option.
Find another GP? Honest, and with all respect, this just is silly.
What you can do if you are dead set against a biopsy and both urologists recommend it is to simply refuse. You have that right. You can sign a document that relieves the doctors of liabilities in this regard.
It would be dumb of you but less dumb than running around shopping for the answers you want.
Post Edited (mentor5959) : 5/29/2019 8:30:57 PM (GMT-6)