Option 1: PSA Rising? An Oncologist's 4-Step Playbook to Avoid Unnecessary Biopsies
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Episode Description
If you logged into your patient portal tomorrow and saw your PSA rising, what would be your next move? Most men—and many doctors—panic and rush straight into a blind biopsy. As an oncologist, I see this mistake every day. In this episode, I’m taking off the white coat to share my personal playbook. If my own PSA spiked tomorrow, here is the exact 4-step sequence I would follow to protect my health, demand the right context, and avoid unnecessary procedures.
In this episode, we cover:
Step 1: Confirm – Why you must wait 2-6 weeks to rule out "noise" (like recent workouts, ejaculation, or lab errors).
Step 2: Context – How prostate size changes the game and why you need to know your "PSA Density."
Step 3: The Map – Why a multiparametric MRI (and understanding your PI-RADS score) is an absolute deal-breaker before any needle touches the prostate.
Step 4: The Target – The crucial difference between throwing darts blindfolded and getting an MRI-guided fusion biopsy.
The PREVENT Trial – Why you should ask your doctor about a transperineal biopsy instead of a transrectal one to reduce the risk of severe infection.
You deserve the exact same standard of care that a doctor would demand for himself. Do not let fear choose your next step.
Resources Mentioned in this Episode:
📥 Download my optional payed 14-Page PSA Guide: chovano.gumroad.com/l/luikhi