I lost a good friend/co-worker due to his refusal to do the procedure. He was the kind that would do anything, for anybody out of kindness and just an all around good man. He had some weird phobia that anything that went near his butthole other than toilet paper would instantly turn him gay. He also refused the ol finger sweep prostate exam that starts at 50 years old also. He died of colon cancer 5 years ago. His PSA was thru the roof too, but his doctors said no need to treat that as far advanced as his colon cancer was. R.I.P. Gordon. :(