Beware of the biopsy. I had a TRUS biopsy with 12 cores taken here in the US. The procedure was not great but not as bad as one might think. About 4 samples from the Apex hurt during the procedure. That night just sore. Yes blood in my urine, stool and ejaculate. That is where routine stopped.
The day after biopsy I had burning urination, pain at the base of my penis and an impossible time trying to pee. Doc thought I may have an infection and gave a week of Sulfa antibiotic. It cleared most of this up but still had some blood in my urine and soreness in my pelvis. It hurt to ejaculate like squeezing a thorn down there and the ejaculate was all just red blood.
I am 14 days after biopsy now. I have pain in my pelvis, and some blood in my urine. It still hurts to ejaculate and the ejaculate is all still fresh red blood. I am on a new antibiotic for 21 days Doxycycline. No relief in sight. Doc says it's not uncommon to have these side effects for a month.
I know your thinking I'm old or sick and have these problems. I am 45, in great health and don't take any medications regularly. I'm in great shape except for this. The day before biopsy I had no pain, no urinary problems and completed my Crossfit work out. As of now I can't exercise without pain.
My biopsy was for a PSA of 5.1 with free PSA of 25%. My results were all benign. I regret ever having the biopsy.