 [ Symptoms ] my husbands urologist wants him to have a prostate biopsy he has no lumps psa was 1 8 is this biopsy necessary  what are the chances of cancer with a psa this low [ Disease ] get a second opinion from another urologist a prostate biopsy is not a pleasant procedure so it should only be done if absolutely necessary his psa is fine but the psa is not the definitive marker i do not know his age or risk factors but if his prostate examination is normal his psa is normal i am puzzled by the recommendation the urologist has a responsibility to justify this procedure so have a face to face consultation and hear has rationale i know from personal experience the psa is a very questionable test designed to promote more tests and more expenses by the male populace my psa is 10 49 i have acute bacterial prostitus this is treatable with powerful antibiotics if you still have fear that is what they want  then by all means have the dr order a cat scan and then you will know the truth j ben my psa was 6 8 and had 2 biopsies no bumps no cancer but because my doctor did not like the signs he did a  saturation biopsy which then showed i had a gleason scale of t8 which at that point it starts spreading to the boney structures and lymph glands the simple biopsy only hits a small part of the prostate had he not been persistent and dependent upon my psa i would be planning my funeral take this seriously those who belittle the psa should have their tongues cut out