Sign up to save your podcasts
Or
Share Option 1: PSA Rising? An Oncologist's 4-Step Playbook to Avoid Unnecessary Biopsies
Share to email
Share to Facebook
Share to X
Share to email
Share to Facebook
Share to X
Or
Option 1: PSA Rising? An Oncologist's 4-Step Playbook to Avoid Unnecessary Biopsies
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
View all episodes
By Dr. Michal ChovanecEpisode 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