My doctor says that considering my high PSA and the feel of the lump from the DRE my cancer probability is about 90%, but he wants to do a 12 needle biopsy to make sure. I know this is the normal procedure but I have also heard stories that a biopsy has a slight chance of spreading the cancer, and considering that I will have blood in my urine, semen and bowell afterwards this seems plausible. Is there any chance at all of this happening?

Needle tracking ( tumor spreading), as it is called in our world is indeed plausible, although most urologist would disagree with me because it is not "proven." This is something that can be challenging to prove scientifically. At the same time, however, prostate biopsy is the gold standard way of diagnosis at this point - although, it is not perfect since false negatives are possible. The other side effects you mentioned would disappear within a week or two. So, what should you do. Considering you have a suspicious nodule do the biopsy - if not you would be frustrated and anxious wondering if you have cancer and if it is progressing. I have people take 5 grams of Modified citrus pectin (pectasol) three times a day two weeks before and two after the biopsy. Rat studies have shown that this agent decreases the risk of cancer spreading. I would see a good naturopathic doctor to guide you will a strong anti cancer program. Best of luck to you.

Ask Dr. Espinosa

Geo Espinosa, N.D., L.Ac, CNS, RH (AHG) is the Director of the Integrative Urological Center at New York University Langone Medical Center. Before joining NYU, Dr. Espinosa was a clinician, researcher and director of clinical trials at the Center for Holistic Urology at Columbia University Medical Center. He is a licensed naturopathic doctor, licensed acupuncturist, a Certified Nutrition Specialist and a Registered Herbalist. Dr. Espinosa is an author of the naturopathic entry in 1000 Cures for 200 ailments, by Harper Collins; March 2007 and “Prostate cancer – Nutrients that may slow its progression,” Food and Nutrients in Disease Management - Maryland: Cadmus Publishing, 2009.

Ask Dr. Myers

Medical oncologist and prostate cancer survivor, Dr Charles "Snuffy" Myers was a key player in creating AZT, Suranim, and Phenylacetate while working at the National Institute of Health. With over 250 research papers published, Myers is one of the leading developers of today's prostate cancer canon on both the research and treatment side of the test tube. Former Cancer Director at the University of Virginia, Myers opened the American Institute for Diseases of the Prostate in 2002 to provide men with the kind of comprehensive care that saved his own life. Dr. Myers has long been popular among prostate cancer patients as a speaker because of his ability to explain science and medicine in easy-to-understand language.

Ask Dr. Latini

Dr. Latini welcomes your questions about the psycho-social dimensions of Prostate Cancer, particularly those presented by Gay and Bisexual men. Dr. Latini is an assistant professor of urology at Baylor College of Medicine. Before joining Baylor, he spent six years in the Department of Urology at the University of California, San Francisco. Dr. Latini is a clinical health psychologist whose work concentrates on cancer survivorship and symptom management for persons living with genitourinary cancer.