{"id":10893,"date":"2026-07-16T18:44:32","date_gmt":"2026-07-16T11:44:32","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?page_id=10893"},"modified":"2026-08-15T00:21:55","modified_gmt":"2026-08-14T17:21:55","slug":"prostate-cancer-screening-bangkok","status":"publish","type":"page","link":"https:\/\/drsoaraweeurology.com\/km\/services\/prostate-cancer-screening-bangkok\/","title":{"rendered":"Prostate Cancer Screening &#038; Diagnosis in Bangkok"},"content":{"rendered":"<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:42px;font-weight:600\">Prostate Cancer Screening &amp; Diagnosis in Bangkok<\/h2>\n<p class=\"has-text-align-center\" style=\"font-size:18px\">Accurate, early detection of prostate cancer \u2014 expert PSA interpretation, multiparametric MRI, and MRI-fusion targeted biopsy \u2014 at Bangkok Hospital Headquarters.<\/p>\n<p class=\"has-text-align-center\"><em>Medically reviewed by Dr. Soarawee Weerasopone, MD \u2014 Board-Certified Urologist \u00b7 Research Scholar &amp; Clinical Observer, Scott Department of Urology, Baylor College of Medicine<\/em><\/p>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<div class=\"wp-block-buttons is-horizontal is-content-justification-center is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" style=\"background-color:#c8102e\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a><\/div>\n<\/div>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">Why Prostate Cancer Screening Matters<\/h2>\n<p>Prostate cancer is one of the most common cancers in men, yet in its early, most curable stages it usually causes <strong>no symptoms at all<\/strong>. This is exactly why screening is so valuable: it can detect the disease long before it would ever be felt, when treatment is most effective and least invasive.<\/p>\n<p>Modern screening is also smarter than it used to be. Rather than rushing every raised PSA to biopsy, today&#8217;s approach combines PSA interpretation with MRI to decide who truly needs a biopsy \u2014 avoiding unnecessary procedures while catching significant cancers early. <a href=\"https:\/\/drsoaraweeurology.com\/2021\/05\/07\/what-should-you-do-if-high-psa\/\">What a high PSA result actually means \u2192<\/a><\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">Who Should Consider Screening?<\/h3>\n<ul class=\"wp-block-list\">\n<li>Men aged 50 and over, as part of routine health screening<\/li>\n<li>Men aged 45 and over with a family history of prostate cancer<\/li>\n<li>Men with urinary symptoms or an abnormal prostate examination<\/li>\n<li>Anyone wishing to discuss their individual risk and the pros and cons of screening<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">The Honest Case Against Screening Everybody<\/h3>\n<p>A screening page that only lists benefits is not giving you what you need to decide. PSA testing has real drawbacks, and they are the reason guidelines treat it as a <strong>shared decision<\/strong> rather than something every man should simply have:<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>False alarms are common.<\/strong> Most raised PSA results are not cancer, and each one leads to further tests and a period of genuine anxiety.<\/li>\n<li><strong>Overdiagnosis is the central problem.<\/strong> Screening finds some cancers that would never have caused harm in a man&#8217;s lifetime. Once found, they are difficult to ignore, and treating them can cost continence and erectile function for no gain \u2014 which is precisely why active surveillance exists.<\/li>\n<li><strong>Age and general health matter more than the number.<\/strong> Screening is aimed at men with a life expectancy of roughly ten years or more, because the benefit takes that long to appear. In a man with serious other illness, or in advanced age, the harms usually outweigh it.<\/li>\n<li><strong>A normal PSA is not a guarantee.<\/strong> Some significant cancers occur with an unremarkable PSA, which is one reason examination and, where indicated, MRI matter.<\/li>\n<\/ul>\n<p>None of this is an argument against screening \u2014 it is an argument for deciding deliberately, with the trade-offs on the table. That conversation is part of the consultation.<\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group has-background is-layout-constrained wp-block-group-is-layout-constrained\" style=\"background-color:#1a2e5a;padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">Diagnostic Evaluation<\/h2>\n<p class=\"has-text-align-center has-white-color has-text-color\">A modern, step-by-step pathway that maximizes accuracy and minimizes unnecessary biopsies:<\/p>\n<div class=\"wp-block-columns is-layout-flex wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-block-group-is-layout-constrained\" style=\"border-color:#c9a84c;border-width:2px;border-radius:10px;padding-top:24px;padding-right:24px;padding-bottom:24px;padding-left:24px\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:20px;font-weight:600\">\ud83e\ude78 PSA Test &amp; Interpretation<\/h3>\n<p class=\"has-white-color has-text-color\">A simple blood test, interpreted in context \u2014 age, prostate size, and trends over time \u2014 rather than a single number, to avoid false alarms. <a href=\"https:\/\/drsoaraweeurology.com\/2020\/05\/21\/psa-screening-test\/\" style=\"color:#c9a84c\"><strong>About PSA screening \u2192<\/strong><\/a><\/p>\n<\/div>\n<\/div>\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-block-group-is-layout-constrained\" style=\"border-color:#c9a84c;border-width:2px;border-radius:10px;padding-top:24px;padding-right:24px;padding-bottom:24px;padding-left:24px\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:20px;font-weight:600\">\ud83e\uddf2 Multiparametric MRI<\/h3>\n<p class=\"has-white-color has-text-color\">A high-resolution scan that maps suspicious areas before any biopsy \u2014 helping decide who needs one and precisely where to sample. <a href=\"https:\/\/drsoaraweeurology.com\/2021\/02\/05\/mri-prostate-cancer-benefits\/\" style=\"color:#c9a84c\"><strong>The evidence behind MRI-first \u2192<\/strong><\/a> \u00b7 <a href=\"https:\/\/drsoaraweeurology.com\/2021\/12\/17\/mri-prostate-interpretation\/\" style=\"color:#c9a84c\"><strong>Understanding your MRI report \u2192<\/strong><\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-columns is-layout-flex wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-block-group-is-layout-constrained\" style=\"border-color:#c9a84c;border-width:2px;border-radius:10px;padding-top:24px;padding-right:24px;padding-bottom:24px;padding-left:24px\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:20px;font-weight:600\">\ud83c\udfaf MRI-Fusion Targeted Biopsy<\/h3>\n<p class=\"has-white-color has-text-color\">A transperineal biopsy that fuses the MRI images with live ultrasound to sample suspicious areas precisely \u2014 higher accuracy with a lower infection risk. <a href=\"https:\/\/drsoaraweeurology.com\/2024\/01\/12\/mri-transperineal-prostate-biopsy\/\" style=\"color:#c9a84c\"><strong>About MRI-fusion biopsy \u2192<\/strong><\/a><\/p>\n<\/div>\n<\/div>\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-block-group-is-layout-constrained\" style=\"border-color:#c9a84c;border-width:2px;border-radius:10px;padding-top:24px;padding-right:24px;padding-bottom:24px;padding-left:24px\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:20px;font-weight:600\">\ud83d\udcca Grading &amp; Staging<\/h3>\n<p class=\"has-white-color has-text-color\">If cancer is found, we determine its grade (Gleason\/ISUP) and stage \u2014 the information needed to choose the right, personalized treatment. <a href=\"https:\/\/drsoaraweeurology.com\/2021\/04\/30\/prostate-biopsy-instruction\/\" style=\"color:#c9a84c\"><strong>After a prostate biopsy \u2192<\/strong><\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">Two Biopsy Routes \u2014 and How to Choose<\/h2>\n<p class=\"has-text-align-center\">Dr. Soarawee performs both the transperineal and the transrectal approach. The honest comparison is set out below, so that the choice is made with full information.<\/p>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">MRI-Fusion Transperineal Biopsy<\/h3>\n<p>Needles pass through the skin of the perineum rather than through the rectum, guided by the fusion of your MRI with live ultrasound. This detects more clinically significant cancers and carries a very low risk of infection, because the needle never crosses the bowel wall.<\/p>\n<p>As a doctor, Dr. Soarawee always wants to recommend what is best for the patient \u2014 and for prostate biopsy, that is the MRI-fusion transperineal route.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">Transrectal (TRUS) Biopsy<\/h3>\n<p>That said, if cost is a real obstacle, a transrectal biopsy should be done. The transrectal route remains a recognized standard of care worldwide and today costs considerably less than the MRI-fusion transperineal approach, which makes it the right answer for a patient who would otherwise be unable to proceed.<\/p>\n<p>The trade-off should be understood clearly before choosing it. Transrectal sampling has a <strong>lower diagnostic yield<\/strong> \u2014 it detects fewer of the significant cancers that are present \u2014 and a <strong>higher complication rate<\/strong>, particularly infection, because the needle passes through the rectal wall. <a href=\"https:\/\/drsoaraweeurology.com\/2021\/04\/30\/prostate-biopsy-instruction\/\">What to expect after a TRUS biopsy \u2192<\/a><\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">After Any Biopsy: What Is Normal, and What Is Not<\/h3>\n<p>Blood in the urine and semen for days to weeks after a prostate biopsy is expected and settles on its own \u2014 blood in the semen can persist for a month or more and is not dangerous. Some soreness is also normal.<\/p>\n<p><strong>Fever or shaking chills after a biopsy is the exception and must be treated as an emergency<\/strong>, because infection following a biopsy can become bloodstream sepsis within hours. Go to a hospital immediately rather than waiting to see how the night goes. The same applies to being unable to pass urine, or heavy bleeding with clots.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">Asking About Cost<\/h3>\n<p>Pricing is handled by the hospital, not by Dr. Soarawee. For the current cost of either biopsy at Bangkok Hospital Headquarters, email the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. For Samitivej Sriracha, call the department line on <a href=\"tel:0880221445\">088-022-1445<\/a>. In consultation, Dr. Soarawee will explain what each approach involves clinically and support whichever choice fits your circumstances.<\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">If Cancer Is Found: Treatment Options<\/h2>\n<p class=\"has-text-align-center\">Not every prostate cancer needs immediate treatment \u2014 the right path depends on the cancer&#8217;s risk, your age, and your priorities.<\/p>\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">Active Surveillance<\/h3>\n<p>For low-risk cancers, close monitoring with PSA, MRI, and biopsy can safely avoid or delay treatment \u2014 sparing many men the side effects of surgery or radiation until (or unless) they are truly needed.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">Robotic Prostatectomy<\/h3>\n<p>For localized cancer that warrants treatment, Da Vinci robotic surgery removes the prostate with a nerve-sparing technique optimized for continence and erectile recovery. Both erectile dysfunction and a period of urinary incontinence are genuine possibilities after any radical prostatectomy, and they are discussed before the decision rather than afterwards. <a href=\"https:\/\/drsoaraweeurology.com\/services\/robotic-prostatectomy\/\">Learn about robotic prostatectomy \u2192<\/a><\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">Radiation &amp; Other Therapies<\/h3>\n<p>Radiation therapy, hormonal therapy, and other options are considered based on the cancer&#8217;s stage and your overall health \u2014 often in a multidisciplinary team setting for the best outcome. For advanced disease, <a href=\"https:\/\/drsoaraweeurology.com\/2021\/12\/31\/androgen-deprivation-therapy\/\">androgen deprivation therapy (ADT) \u2192<\/a> plays a central role.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">What About Diet and Prevention?<\/h3>\n<p>Patients often ask what they can eat to avoid prostate cancer. The honest answer is that dietary evidence is largely observational and shifts risk modestly at best \u2014 it is worth eating well, but no food substitutes for screening at the appropriate age. <a href=\"https:\/\/drsoaraweeurology.com\/2020\/11\/20\/5-diets-against-prostate-cancer\/\">What the dietary evidence actually supports \u2192<\/a><\/p>\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<p class=\"has-text-align-center\"><a href=\"https:\/\/drsoaraweeurology.com\/category\/oncology\/\"><strong>Browse all prostate &amp; cancer patient guides \u2192<\/strong><\/a><\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group has-background is-layout-constrained wp-block-group-is-layout-constrained\" style=\"background-color:#f5f7fa;padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:32px;font-weight:600\">Why Choose Dr. Soarawee<\/h2>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<ul class=\"wp-block-list\">\n<li><strong>\ud83c\udfaf Both biopsy routes offered<\/strong> \u2014 MRI-fusion transperineal sampling as the recommended standard, with transrectal biopsy available where cost would otherwise prevent a diagnosis, and the trade-offs explained plainly<\/li>\n<li><strong>\ud83e\udde0 Smart, personalized screening<\/strong> \u2014 PSA interpreted in context and paired with MRI to avoid unnecessary biopsies, with the harms of screening discussed as openly as the benefits<\/li>\n<li><strong>\ud83e\udd16 Full pathway under one specialist<\/strong> \u2014 from screening and diagnosis to nerve-sparing robotic surgery when needed<\/li>\n<li><strong>\ud83c\udfe5 Bangkok Hospital Headquarters<\/strong> \u2014 internationally accredited (JCI) facility with a Da Vinci Center of Excellence<\/li>\n<li><strong>\ud83c\udf10 International experience<\/strong> \u2014 nine years caring for expatriate and medical-tourism patients, with English-speaking staff<\/li>\n<\/ul>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">Frequently Asked Questions<\/h2>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q1: Who should get prostate cancer screening?<\/h3>\n<p>Screening is generally considered for men from age 50, or from 45 for those with a family history or other risk factors. The decision is individual \u2014 it is worth discussing your personal risk and the benefits and limitations of PSA testing with a urologist. It is aimed at men with a life expectancy of roughly ten years or more, because that is how long the benefit takes to appear.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q2: Does a high PSA mean I have prostate cancer?<\/h3>\n<p>Not necessarily. PSA can rise for benign reasons such as <a href=\"https:\/\/drsoaraweeurology.com\/services\/bph-enlarged-prostate-bangkok\/\">an enlarged prostate (BPH)<\/a>, infection, or recent activity. A raised PSA is a signal to investigate further \u2014 often with an MRI \u2014 not an automatic diagnosis of cancer.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q3: What are the downsides of PSA screening?<\/h3>\n<p>Three matter. False alarms are common and lead to further testing and anxiety. Overdiagnosis means screening can find cancers that would never have harmed you, and treating those can cost continence and erectile function for no benefit \u2014 which is why active surveillance is offered. And a normal PSA does not entirely exclude significant cancer. Guidelines therefore treat screening as a shared decision rather than an automatic test.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q4: What is an MRI-fusion prostate biopsy?<\/h3>\n<p>It is a targeted biopsy that merges a prior MRI with live ultrasound so the urologist can sample suspicious areas precisely. Performed through the perineum (transperineal), it improves detection of significant cancer and carries a very low risk of infection.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q5: Is a transrectal biopsy still an acceptable option?<\/h3>\n<p>Yes. Dr. Soarawee recommends the MRI-fusion transperineal route as the best option for the patient, but if cost is a real obstacle then a transrectal (TRUS) biopsy should be done \u2014 it remains a recognized standard of care and costs considerably less. The trade-off is a lower diagnostic yield and a higher complication rate, particularly infection.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q6: What symptoms after a prostate biopsy need urgent care?<\/h3>\n<p>Fever or shaking chills after a biopsy is a medical emergency, because post-biopsy infection can progress to bloodstream sepsis within hours \u2014 go to a hospital immediately. Inability to pass urine and heavy bleeding with clots also need urgent assessment. Blood in the urine and semen, by contrast, is expected and can persist for weeks without being dangerous.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q7: How much does a prostate biopsy cost?<\/h3>\n<p>Pricing is quoted by the hospital rather than by Dr. Soarawee. For Bangkok Hospital Headquarters, email the Urology department at bhquro@bdms.co.th. For Samitivej Sriracha, call the department line on 088-022-1445.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q8: Does prostate cancer always need immediate treatment?<\/h3>\n<p>No. Many low-risk prostate cancers grow very slowly and can be safely monitored with active surveillance, avoiding or delaying treatment and its side effects. Treatment is recommended when the cancer&#8217;s risk level warrants it.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q9: Can prostate cancer be cured?<\/h3>\n<p>When detected early and confined to the prostate, prostate cancer is highly treatable and often curable with surgery or radiation. This is precisely why timely screening and accurate diagnosis are so important. Treatment does carry consequences \u2014 erectile dysfunction and a period of incontinence after surgery \u2014 which is why the decision is made together.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q10: Can I have a telemedicine consultation to discuss my PSA result?<\/h3>\n<p>Yes, through Bangkok Hospital. Telemedicine is available for patients who cannot attend in person, including international patients, and is arranged in advance by email to the Urology department at bhquro@bdms.co.th. Samitivej Sriracha is in-person only. A biopsy or MRI, of course, requires an in-person visit.<\/p>\n<\/div>\n<p><script type=\"application\/ld+json\">\n{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"MedicalWebPage\",\"@id\":\"https:\/\/drsoaraweeurology.com\/services\/prostate-cancer-screening-bangkok\/#webpage\",\"url\":\"https:\/\/drsoaraweeurology.com\/services\/prostate-cancer-screening-bangkok\/\",\"name\":\"Prostate Cancer Screening and Diagnosis in Bangkok\",\"headline\":\"Prostate Cancer Screening and Diagnosis in Bangkok\",\"description\":\"Prostate cancer screening and diagnosis in Bangkok, combining PSA interpretation in context with multiparametric MRI and a choice of biopsy route: MRI-fusion transperineal sampling as the recommended standard, or lower-cost transrectal biopsy where cost would otherwise prevent a diagnosis.\",\"inLanguage\":\"en\",\"lastReviewed\":\"2026-08-14\",\"specialty\":\"https:\/\/schema.org\/Urologic\",\"audience\":{\"@type\":\"Patient\"},\"disambiguatingDescription\":\"PSA screening is a shared decision, not an automatic test. 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Most raised results are not cancer; overdiagnosis of indolent disease is the principal harm of screening; and a normal PSA does not entirely exclude significant cancer. 5-alpha-reductase inhibitors taken for an enlarged prostate roughly halve the reading and must be accounted for.\"},{\"@type\":\"MedicalProcedure\",\"@id\":\"https:\/\/drsoaraweeurology.com\/services\/prostate-cancer-screening-bangkok\/#fusion-biopsy\",\"name\":\"MRI-fusion transperineal prostate biopsy\",\"procedureType\":\"https:\/\/schema.org\/PercutaneousProcedure\",\"bodyLocation\":\"Prostate\",\"howPerformed\":\"Multiparametric MRI images are fused with live ultrasound so that suspicious areas of the prostate are sampled precisely through the perineum, improving detection of significant cancer while keeping infection risk very low. This is the route Dr. Soarawee recommends as best for the patient.\",\"preparation\":\"PSA testing, prostate examination and multiparametric MRI are performed first to decide whether a biopsy is needed and where to target it.\",\"followup\":\"Blood in the urine and semen for days to weeks is expected and settles on its own; blood in the semen may persist for a month or more without being dangerous. FEVER OR SHAKING CHILLS AFTER A BIOPSY IS AN EMERGENCY, because infection can progress to bloodstream sepsis within hours. Inability to pass urine and heavy bleeding with clots also require urgent assessment.\"},{\"@type\":\"MedicalProcedure\",\"@id\":\"https:\/\/drsoaraweeurology.com\/services\/prostate-cancer-screening-bangkok\/#trus-biopsy\",\"name\":\"Transrectal ultrasound-guided prostate biopsy\",\"alternateName\":\"TRUS biopsy\",\"procedureType\":\"https:\/\/schema.org\/PercutaneousProcedure\",\"bodyLocation\":\"Prostate\",\"howPerformed\":\"Biopsy needles are passed through the rectal wall under ultrasound guidance to sample the prostate. It remains a recognized standard of care and costs considerably less than the transperineal route, so it is the option to take where cost is a real obstacle, accepting a lower diagnostic yield and a higher rate of complications, particularly infection.\",\"preparation\":\"PSA testing and prostate examination, with antibiotic prophylaxis before the procedure.\",\"seriousAdverseOutcome\":{\"@type\":\"MedicalEntity\",\"name\":\"Infection, including bloodstream sepsis, is the principal risk because the needle crosses the rectal wall; fever or chills afterwards requires immediate hospital assessment.\"}},{\"@type\":\"FAQPage\",\"@id\":\"https:\/\/drsoaraweeurology.com\/services\/prostate-cancer-screening-bangkok\/#faq\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Who should get prostate cancer screening?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Screening is generally considered for men from age 50, or from 45 for those with a family history or other risk factors. The decision is individual and worth discussing with a urologist. It is aimed at men with a life expectancy of roughly ten years or more, because that is how long the benefit takes to appear.\"}},{\"@type\":\"Question\",\"name\":\"Does a high PSA mean I have prostate cancer?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Not necessarily. PSA can rise for benign reasons such as an enlarged prostate, infection, or recent activity. A raised PSA is a signal to investigate further, often with an MRI, not an automatic diagnosis of cancer.\"}},{\"@type\":\"Question\",\"name\":\"What are the downsides of PSA screening?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Three matter. False alarms are common and lead to further testing and anxiety. Overdiagnosis means screening can find cancers that would never have harmed you, and treating those can cost continence and erectile function for no benefit, which is why active surveillance is offered. And a normal PSA does not entirely exclude significant cancer. Guidelines therefore treat screening as a shared decision.\"}},{\"@type\":\"Question\",\"name\":\"What is an MRI-fusion prostate biopsy?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"It is a targeted biopsy that merges a prior MRI with live ultrasound so the urologist can sample suspicious areas precisely. Performed transperineally, it improves detection of significant cancer and carries a very low risk of infection.\"}},{\"@type\":\"Question\",\"name\":\"Is a transrectal biopsy still an acceptable option?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. Dr. Soarawee recommends the MRI-fusion transperineal route as the best option for the patient, but if cost is a real obstacle then a transrectal TRUS biopsy should be done, as it remains a recognized standard of care and costs considerably less. The trade-off is a lower diagnostic yield and a higher complication rate, particularly infection.\"}},{\"@type\":\"Question\",\"name\":\"What symptoms after a prostate biopsy need urgent care?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Fever or shaking chills after a biopsy is a medical emergency, because post-biopsy infection can progress to bloodstream sepsis within hours; go to a hospital immediately. Inability to pass urine and heavy bleeding with clots also need urgent assessment. Blood in the urine and semen is expected and can persist for weeks without being dangerous.\"}},{\"@type\":\"Question\",\"name\":\"How much does a prostate biopsy cost?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Pricing is quoted by the hospital rather than by Dr. Soarawee. For Bangkok Hospital Headquarters, email the Urology department at bhquro@bdms.co.th. For Samitivej Sriracha, call the department line on 088-022-1445.\"}},{\"@type\":\"Question\",\"name\":\"Does prostate cancer always need immediate treatment?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"No. Many low-risk prostate cancers grow very slowly and can be safely monitored with active surveillance, avoiding or delaying treatment and its side effects. Treatment is recommended when the cancer risk level warrants it.\"}},{\"@type\":\"Question\",\"name\":\"Can prostate cancer be cured?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"When detected early and confined to the prostate, prostate cancer is highly treatable and often curable with surgery or radiation. Treatment does carry consequences, including erectile dysfunction and a period of incontinence after surgery, which is why the decision is made together.\"}},{\"@type\":\"Question\",\"name\":\"Can I have a telemedicine consultation to discuss my PSA result?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes, through Bangkok Hospital. Telemedicine is available for patients who cannot attend in person, including international patients, and is arranged in advance by email to the Urology department at bhquro@bdms.co.th. Samitivej Sriracha is in-person only. A biopsy or MRI requires an in-person visit.\"}}]}]}\n<\/script><\/p>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:34px;font-weight:600\">Book Your Screening Consultation<\/h2>\n<p class=\"has-text-align-center\">Take a proactive step for your long-term health with an accurate, modern prostate assessment.<\/p>\n<p class=\"has-text-align-center\">Bangkok Hospital Telemedicine is available for patients who cannot attend in person, including international patients \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. Samitivej Sriracha is in-person only.<\/p>\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<div class=\"wp-block-buttons is-horizontal is-content-justification-center is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok Hospital \u2014 Online Booking<\/a><\/div>\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link wp-element-button\" href=\"tel:0880221445\">Samitivej Sriracha \u2014 Call 088-022-1445<\/a><\/div>\n<\/div>\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<p class=\"has-text-align-center\" style=\"font-size:14px\"><em>This page is provided for patient education only and is not medical advice. It does not create a doctor-patient relationship. Fever after a prostate biopsy needs immediate hospital assessment. Dr. Soarawee does not provide medical assessment, advice, diagnosis or prescriptions through personal messaging channels, direct messages or social media.<\/em><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Accurate prostate cancer screening and diagnosis in Bangkok \u2014 PSA interpretation, multiparametric MRI, and MRI-fusion transperineal biopsy \u2014 by Dr. Soarawee Weerasopone, MD.<\/p>","protected":false},"author":185281453,"featured_media":10927,"parent":10357,"menu_order":10,"comment_status":"closed","ping_status":"closed","template":"","meta":{"advanced_seo_description":"Prostate cancer screening and diagnosis in Bangkok \u2014 expert PSA interpretation, multiparametric MRI, and MRI-fusion transperineal biopsy for accurate, early detection by Dr. Soarawee Weerasopone, MD, Board-Certified Urologist.","jetpack_seo_html_title":"Prostate Cancer Screening & Diagnosis in Bangkok | Dr. Soarawee","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_wpcom_ai_launchpad_about_page":false,"_wpcom_ai_launchpad_gallery_page":false,"_wpcom_ai_launchpad_contact_page":false,"_wpcom_ai_launchpad_events_page":false,"_wpcom_ai_launchpad_video_page":false,"_wpcom_ai_launchpad_portfolio_piece":false,"footnotes":""},"class_list":["post-10893","page","type-page","status-publish","has-post-thumbnail","hentry"],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/PgZdrK-2PH","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/pages\/10893","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/comments?post=10893"}],"version-history":[{"count":8,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/pages\/10893\/revisions"}],"predecessor-version":[{"id":11453,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/pages\/10893\/revisions\/11453"}],"up":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/pages\/10357"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/media\/10927"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/media?parent=10893"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}