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Ricardo Alonso avatar

Can Likely Scar Tissue from a Bike Riding Accident Cause High PSA, 8.5

Prostate Cancer | Last Active: Mar 11 10:42am | Replies (8)
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Profile picture for heavyphil @heavyphil

@rapco101 Absolutely! Second - and third - opinions are a MUST.
However, what you are reading about rectal biopsies is old news - newer trans-PERINEAL biopsies avoid most of these issues as they are extremely focused (on the PIRAD lesion), well targeted using both MRI and sonogram and do NOT go thru the rectum causing bleeding and infection.
Find yourself a urologist who does ONLY transperineal biopsies and you will be fine!
Phil

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Replies to "@rapco101 Absolutely! Second - and third - opinions are a MUST. However, what you are reading..."
Ricardo Alonso | @rapco101 | Mar 11 10:42am

@heavyphil

Thank you Phil,

Yes, I am aware of transperineal biopsies and have already requested it, despite that when we first met in December 2025, the doctor only suggested the transrectal biopsy. In this procedure, he said that my prostate would require 12-16 core samples.... wtf! Yes, the transperineal is much better option and the clinic does offer it.

Personally, I would like to take an 'active surveillance' approach, maybe 6 months to see if anything changes occur, lesion size, PSA, etc. If this is an injury, I believe there should be no changes.... and hopefully no cancer!

BTW, the PSE test was taken yesterday, overnighted to the lab.

Gratefully,
Ricardo

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