BY JEFFREY TURNER, MD We would consider OPKO 4Kscore or Intelliscore ExoDx Prostate as supplemental investigation to a PSA blood test. A typical candidate for an OPKO 4Kscore would be a …
Tag: No Previous Biopsy
The following pros and cons need to be discussed and weighed before having a biopsy:
-It is the most accurate way to diagnose and stage aggressive prostate cancer.
-It is a fairly effective way to exclude the presence of aggressive prostate cancer.
-Biopsy may diagnose latent prostate cancer, a condition that frequently frightens men into unnecessary treatment that can destroy sex life, normal urinary function and rectal function.
One-percent of biopsies cause serious bleeding requiring transfusion and serious infection requiring hospitalization.
– Biopsy causes erectile dysfunction about one-third of the time. This is presently believed to be a temporary phenomena, resolving within a few months.
-Consider counseling from a prostate cancer center experienced in active surveillance prior to doing a biopsy. Sometimes after further investigations with Color Doppler Ultrasound, 3T multiparametic MRI and urinary PCA-3, continued watching with sequential scans and PSA testing will be preferable to undergoing immediate biopsy.