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Risks & Alternatives | Random Needle Prostate Biopsies

The PSA test is useful for the early detection of dangerous prostate cancers; however, the test's lack of specificity means that men with elevated PSAs are frequently investigated for prostate cancer with imaging, blood tests, and potentially biopsies despite most of these cases being benign. Here, medical oncologist, Mark Scholz, MD, answers patients' questions about biopsies for prostate cancer-- the different methodologies, the risks, whether imaging can help determine whether you need a biopsy, and more. 0:09 Can biopsies cause nerve damage? 1:01 "The number of positive cores" is used to stage prostate cancer, but is it still relevant with targeted biopsies since more cores are likely to be positive compared with random biopsies--assuming that a cancer is actually present? 2:30 Can biopsies cause scarring or erectile dysfunction? 3:13 Does a rising or high PSA mean that a person is going to have to continue getting biopsies, even if no cancer has been found through previous biopsies? 4:38 What are the differences between transrectal and transperineal biopsies? 5:41 How long does a transperineal biopsy take compared to a transrectal biopsy? 6:24 Can a biopsy increase the risk of cancer spreading? 7:10 Should patients seek out a PSMA PET scan before getting a biopsy? Don’t know your stage? Take the quiz: Visit http://www.prostatecancerstaging.org To learn more about prostate cancer visit http://www.pcri.org Sign up for our newsletter here to receive the latest updates on prostate cancer and the PCRI: https://pcri.org/join Who we are: The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better individualized care. Feel free to explore our website at pcri.org or contact our free helpline with any questions that you have at pcri.org/helpline. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors. The information on the Prostate Cancer Research Institute's YouTube channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs. #ProstateCancer #MarkScholzMD #PCRI