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Prostate Cancer

Less Painful Biopsy for Prostate Cancer?

09/14/1999

Question:

I have had two prostate biopsies and my urologist recommends that I have one just about every year because he thinks there is a good chance I will develop prostate cancer. The biopsy was done both times with the "triggered needle" and was very painful. Is there a better way on the horizon? Thank you.

Answer:

The method of biopsy you mention using the triggered needle is the method most commonly used and is a significant advancement over prior methods that were much more painful. The need for re-biopsy when one has had negative biopsies is based on a variety of issues including the patient`s age, any change that has occurred in PSA over time, any change that has occurred in the prostate on physical examination, the ratio of free to total PSA and the level of PSA itself. These issues should be discussed with your physician.

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Response by:

Martin I Resnick, MD Martin I Resnick, MD
Formerly, Professor of Urology
School of Medicine
Case Western Reserve University