Hi, my urologist is saying that medicare requires a biopsy within 6 months of Aquablation. I had never heard this from other doctors when I talked to them. I already had a biopsy 4 years ago which was benign. At the time of last biopsy my PSA was 6.07 and now its actually lower, 6.02. I don't see why I need a biopsy again, my PSA has been stable, and now I don't trust this doctor if he is telling me the truth. Because the first time he told me I needed biopsy, his reasoning was that my PSA had gone up, but when I checked my records I found out my PSA had actually gone down. Now, his reasoning has changed and says that its not him, but medicare that requires that for every patient needing Aquablation. Did any of you have to have a biopsy before your Aquablation? Have you ever heard this before?