Yeah it definitely sounds like he is avoiding it, but not sure if it is the perceived pain of the biopsy, or denial about
the possible results. (or maybe both).
If it is the pain, (which I have heard others having, but Ken has really not found any of his three really painful), maybe could help him ask a list of questions when making the appt? Like any sedatives offered, how do they numb, etc. If it is mostly the pain of the biopsy involved and great fear of that, he could even ask for a referral to an outpatient center where they give you an IV sedative (like for colonscopy's), he won't remember it hardly. But I think most don't find the biopsy as worse as the anticipation.
If it is the mental block of "if i don't find out I have cancer, then I don't have cancer", then that seems like a more complicated issue. I would reassure him with several things 1) Entirely possible no cancer, 2) Even if cancer, it is a VERY curable disease, if caught early enough, 3) There are lots of treatment choices available, especialy at his age and caught early.
Maybe print him off some sucess stories, either from here or yananow.net ... it is not the most fearful cancer to have if caught early!
Best wishes, and let us know how it goes!
PSA: 3.7 (2005: 3.4, 2004: 4.0)
Biopsy: 1/10 cancerous, 5% of one core, right apex.
Da Vinci: April 10, 2007, Denver CO
Path results: 1% of prostate involved. Very small tumors on both right and left apex. Negative margins, negative seminal vessicles, lymph nodes left intact. Gleason upgraded 3+4=7.