High PSA

Hello All,

My story starts in 2011 when a routine test detected high PSA levels (5) and when I had my first BX, which came back negative.
Following year (2012) PSA jumped to 9.5 in 6 months and never went back down since; started having acute pelvis pains, and other symptoms; undergone treatment with antibiotics for prostatitis; had another BX (16 needles), this time positive for PCA: 1 core G6 (right apex, 5%), 1 HIPIN, 1 ASAP; URO recommended surgery, giving me pretty good odds for cure..; after second (third..) opinion I wasn't able to commit for surgery (or treatment).
During 2013..2016 I followed with more tests, CDU guided BX, MpMRI's, C11 Acetate Pet Scan (Phoenix), another standard BX, PSMA PET/MRI, all negative or inconclusive for PCA; my prostate size 65..75cc; taking Rapaflo or Flomax to maintain flow.
In the meantime (since 2012), PSA hovering 10..11 for some time, and inching higher lately (13); becoming more anxious and confused about next step(s), as PSA keeps rising and not necessarily correlating with detected PCA.

Thank you for your attention and for any feedback/advice.
Nick

Are you on an AS program? A raised PSA level in the blood just means something is happening in the prostate which, in most instances, is not due to cancer. The only way to confirm whether prostate cancer is present is by prostate biopsy, so a repeated biopsy every second or third year could be a valid approach.

Thank you for your replies.

In a summary, I had 4 BX's between 2011..2015 (NEG, POS, NEG, NEG-BPH) and other tests including body scans, in the desire to understand the extend of the PC, and the cause of elevated PSA, before deciding on treatment. I had PSA tested 3-4 times a year (2009:3, 2011:5, 2012:9.5, 2013:10, 2014:11, 2015-16:11..13).
Doctor, at some point, have suggested saturated BX. Haven't had that one yet..

Forgot to mention, I'm 66.
My father died of PC at 72.

Best wishes,
Nick