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Baltimore's Dr. Edward Leventhal gives you advice on how men can live healthier lives.

I need a what? Yes, a prostate biopsy!
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So your primary care doctor told you that your PSA was elevated. Your wife convinced you that you needed to see the urologist. The appointment wasn’t that bad and he didn’t have fingers the size of Andre the Giant. But you just got the wonderful news that you need a prostate biopsy. What!!!!!!  Are you sure?????  Actually with modern ultrasound and advances in the use of local anesthesia, a prostate biopsy should not be as horrific as you would expect. Lets talk a little about the indications and the procedure. If your PSA is elevated for your age and/or if you have an abnormal digital rectal examination of the prostate, you need a prostate biopsy. That is assuming that there are no other reasons for the abnormality such as an active urinary infection or recent ejaculation within 48 hours… read more

Posted by .(JavaScript must be enabled to view this email address) on 03/22/09 at 11:37 AM

Comments

If your PSA test score is high but the rectal examination done by the urologist does not indicate signs of a malignancy in the prostate, the next step before a biopsy should be the Free PSA test.  This test is more specific and if the results indicate that there is a possibility of cancer, then the next step should be the biopsy.  Many unnecessary biopsies could be avoided if these steps were followed.

Posted by juan perez on 10/23/09 at 09:15 PM

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