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Welcome to Just Answer and thanks for your question. I agree that a repeat PSA in a few months when you are completely healed is a good plan. Any manipulation (such as from a digital rectal exam) can increase the PSA result.
Different men respond differently to the endorectal coil. Nobody likes it, of course, but most don't have your level of pain. Tolerable discomfort is what I hear most often. I hope the MRI results were good.