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Urologist Anthony Horan M.D. described many dangers waiting for those entering the prostate cancer arena. His book, "The Rise and Fall of the Prostate Cancer Scam" is an invaluable read for both patients and physicians.

The trans-rectal ultrasound-guided prostate biopsy is not only very risky but an embarrassingly unscientific test. This stupid test samples blindly and randomly about 0.1 percent of the prostate leaving you ignorant about what's going on in 99.9 percent of the prostate.

The trans-perineal biopsy scores better on risk but remains ridiculously unscientific. When the perineal biopsy is undertaken with a "fusion" imaging study, reliability is considered another advance. More accurate is an MRI-guided targeted biopsy of high Pirads areas by an expert in prostate imaging. Unbelievably irrational, the addition to this study of random biopsies sampling an extra 0.1 percent of the prostate is interpreted as being scientifically beneficial. Sadly, countless men continue to be in jeopardy of undergoing unnecessary, unreliable and debilitating testing and treatments for which there is no scientific evidence of life extension.

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Many urologists have made the switch to transpeineal biopsies. That's in their interest and that of the patient.

Sepsis is dangerous.

But some urologists don't want to make any changes.

David Keller, an AS patient from Jax, told me:

"The chair of the urology department at [a brand-name hospital] in his own uses the transrectal method for prostate biopsies according to his PA 'because that’s how he was trained.'

"Just learned this last night from my friend who is being treated by this urologist, but this friend is taking advice from me to steer clear of the transrectal prostate biopsy."

Good work, David. Friends helping friends try to advise them against transrectal biopsies. Like Wilford Brimley said about oatmeal: It's the right thing to do. https://www.youtube.com/watch?v=D5LiwTVJrTk

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