Hello JP59,
Followed my PSA from about 3 to 8.5 over the past 5 years and decided to treat the prostate cancer this year. I completed two MRI guided biopsies and anesthesia was absolutely not needed - no issues or pain. I'm currently about to complete 39 Proton Beam treatments along with androgen suppression (two shots three months apart) and have only minor side effects. The results of the MRI and biopsy were the turning point for me to start treatment.

All the Best.