37 Year Old - 2 cm nodule

Hello everyone. I am totally new to this. Let me go ahead and tell you my story. For the year I been having pain in my penis area and some discomfort when sitting. I had a PSA done last year, on 09/2016 and it was 0.38. Had a urinalysis done and checked for STDs, all were negative.

I had another PSA done on 08/2017 and it was 0.34. The pain continued and so I went to a new doctor who referred for a ultrasound of my bladder and prostate despite having a normal Digital rectal exam. On the Ultrasound, the radiologist said he saw a 2 cm hypoechoic area, either abscess or tumor. So I went to the urologist, who performed another digital rectal Exam and said it felt normal and said he recommends the MRI. I have been freaking out and self diagnosed myself with Prostate cancer. The urologist doesn’t think it is cancer, but what else can it be if it’s not cancer.

My prostate total volume is 6 cc by the way.

Any words of advise and encouragement is greatly appreciated.

Everything John T said, so calm down. Plus:
"Not all hypoechoic prostatic nodules are malignant. The differential diagnosis for a hypoechoic prostatic abnormality includes prostatitis, atrophy and g[r]anulomatous disease, making standard grayscale TRUS [transrectal ultrasound] insensitive and nonspecific for cancer detection." A. Abdellaoui et al., Imaging in Prostate Cancer, Future Oncol. (2011). /www.medscape.com/viewarticle/742986_2
The article also says that the chance a hypoechoic lesion is positive for PCa on biopsy is only 9 percent. The incidence of malignancy rises significantly with positive DRE, high PSA, or if the lesion is in the outer zone of the prostate.
Not sure from your post whether you had TRUS or abdominal ultrasound, or both. TRUS is the standard for ultrasound imaging of the prostate, abdominal for the bladder.

Ruben, no one can give you a guarantee it's not cancer. But keep in mind that the radiologist pretty much has to write that it may be a neoplasm and suggest further testing if the area's hypoechoic and cancer can't absolutely be ruled out--which it can't, based on a US. Your uro isn't kidding when he says it's probably not cancer, given your low PSA and normal DRE. You should be thinking the same. But the c-word manufactures irrational levels of anxiety, even when your brain knows better. Oh, well. You'll get through it. Let us know how the MRI goes.