joliver, I agree with Selmer on this situation. It seems you have been fast tracked past any of the steps for determing a need for a biopsy. In my case, and with most cases, I had elevated PSA, and was referred to the Urologist. He did a dre, found my prostate enlarged, but no abnormalities felt. He started me on a 3 week course of antibiotics and antinflammatory meds, then 3 weeks to clear that out of my system, and brought me back for a retest on the PSA. In my case, the PSA had dropped from 7.6 to 6.7 after the meds, so we scheduled a biopsy. He got 16 samples, 5 of which came back with cancer, all in the left lobe. I had open surgery, and the rest is history. The post-surgical Pathlogy report didn't change the Gleason score.
As has been said, an enlarged prostate in itself will give higher psa, as will having a dre before the blood test. My prostate was a whopping 110 grams, at surgery, the normal is 25 to 30 grams, but I still had the cancer. You might consider talking with the doctor and requesting that he go along the lines of a psa retest without a dre or sex within 3 days beforehand, then a round of antibiotics and antinflamatories, then retest to see what you have then. At that point you will have enough info to make a decision as to how to proceed. This is just my personal opinion and I ain't doctoring, so take it for what its worth.... 