NICE guidance is that men on AS should have mpMRI if there are concerns because PSA is rising, although Martin probably wouldn't meet that criterion because his current PSA is still below his highest previous reading. It also says men should have a template biopsy before starting AS and subsequent biopsies should be image guided TRUS.
Interesting to read that Lyn.
My biopsy last August was transperineal under local anaesthetic. They said they no longer did TRUS at all. Does that comply with NICE?
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