Inclusion Criteria:  Able to give informed consent Male - age > 18 mpMRI within the previous 6 months (PIRADS 3,4,5, all stages of PCa) Scheduled for TRUS biopsy for prostate lesion or mass  Exclusion Criteria:  Age under 18 years of age. Female Pre-existing blood dyscrasias Inability to perform TRUS due to anal sphincter closure/surgery Patients needing general anesthesia Patients allergic to lidocaine Patients allergic or unbale to take antibiotics