@csbarry
Morphine is the way to avoid the pain of metastatic prostate cancer.

My father died from me at 88. When I was a teenager, had his teeth ground down and crowned without Novacaine he had that much pain tolerance. He would come home at night and eat dinner with us.

In the two or three weeks before he died, he was on so much morphine he could not communicate. The pain was just unrelenting. If that’s what you want that’s your decision.

@csbarry I think that we are still confused. Do you want to avoid only the biopsy or also the treatment? The PSE and ISOPSA have already been mentioned. You could also get a PSMA, that would show if you have any cancer already outside the prostate. Without a biopsy result you would need to pay for it out if your own pocket. Sticker price where I had mine was $15k but after my insurance refused to pay, I was charged “only” $5,400. I was anxious to get it done, but later figured out that in Europe or Latin America it costs only $1,500. If this is a route you wish to look into, feel free to DM me and I can give you some contacts for centers in Germany, Mexico, or Colombia. All if them I believe can do business in English.

@csbarry
The PSE test is one alternative. It is 94% accurate in telling you whether or not you have prostate cancer and need a biopsy. In your case, it would just tell you, you have it.

@csbarry

I get it…regarding wanting to avoid biopsies….you can read all about my miserable biopsy experience in this forum:
https://connect.mayoclinic.org/discussion/prostate-biopsy-complication/
I’m currently on AS and my doc said he normally doesn’t go any longer than 5 years between biopsies for men on AS, even if all other markers indicate “no progression” (I was diagnosed with low volume 3+4).

I said “Good, let’s schedule the next one on the 31st day of the 11th month after year 4!”

What I don’t get is what treatment do you want to have without a biopsy.

Do you have symptoms that would indicate you may already have metastasis PCa and want it treated without undergoing a biopsy?

If so, have you expressed those symptoms and concerns to your physician?

@csbarry You are receiving the advice you sought. You are free to accept or reject it, but you do not have standing to tell someone to leave the chat.