@drdavid855: #drdavidsamadi# Prostate biopsy is not painful when you have the right doctor. During the procedure, the patient is awake, comfortable and talking normally. Experience makes the difference - that's why it's important to choose wisely. If your PSA is elevated or the MRI shows something fishy, a prostate biopsy may be the only way to confirm the presence of Prostate Cancer. This test allows doctors to determine if cancer exists and how aggressive it can be, often measured with the Gleason Score. Early detection offers more treatment options and a higher probability of cure. If you have blood in your urine, elevated PSA, or a family history of prostate cancer, don't wait to get evaluated with a urologist.