1. juan perez juan perez Puerto Rico says:

    If your PSA test score is high but the rectal examination done by the urologist does not indicate signs of a malignancy in the prostate, the next step before a biopsy should be the Free PSA test.  This test is more specific and if the results indicate that there is a possibility of cancer, then the next step should be the biopsy.   Many unnecessary biopsies could be avoided if these steps were followed.

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