@stew80 @heavyphil
When my urologist wanted to do my biosies trans rectal I did not agree. Then mentioned the increased risk for infection and said but if you get in you would only have to spend a couple of days in the hospital.

Done deal with me. Not only is there no anxiety and stress during the transperinal (anesthesia) it has extremely low risk on infection.

A personal decision but I dug my heels in and had it done transpernial and anesthesia.