Doctors do not need to biopsy every man with a high PSA screening blood test for prostate cancer. Most patients become infected from the procedure, 20 percent suffer severe pain, 10 percent require strong pain medicines, and 15 percent of previously potent patients report that they can't get an erection one month later (1).
A high PSA is caused by prostate cancer, infection or enlargement. The only way to prove a prostate cancer is with a biopsy, but men with a high PSA and burning on urination or severe pain when their bladders are full are likely to have an infection, not cancer. A doctor should massage their prostates, and if their secretions contain excess white blood cells, they should be given antibiotics for several months, and have their PSA blood test repeated. They should have a biopsy only if their PSA is still high or they have a nodule on their prostate or some other suspicious finding.
See Chronic Prostatitis Can Be Cured
1) A Zisman, D Leibovici, J Kleinmann, YI Siegel, A Lindner. The impact of prostate biopsy on patient well-being: A prospective study of pain, anxiety and erectile dysfunction. Journal of Urology, 2001, Vol 165, Iss 2, pp 445-454. Address: Zisman A, Univ Calif Los Angeles, Sch Med, Dept Urol, Div Urol, 10833 Le Conte Ave, Room 66-118 CHS, Los Angeles,CA 90095 USA.