I disagree about biopsies not being a big deal. I feel biopsies are barbaric, especially when so many are done unnecessarily. Plus if done transrectal there is always a chance of infection. And if a blind biopsy it can be even more useless. Personally I would not have a biopsy done unless something showed on MRI. As mentioned there are other blood tests to detect prostate cancer and would do these before a blind biopsy.