Posted 12/11/2018 1:49 AM (GMT 0)
bbqdude:
2017 August: PSA 2.7
2018 August: PSA 4.17
2018 October: PSA 4.7
2018 October 26: biopsy Gleason 3+3
You need an explanation for this progression, and you don't have it. The latest PSA reading, so soon after biopsy, largely doesn't matter to the investigation.
It is important to understand that the typical biopsy samples a very small percentage of your prostate. It is possible that it has randomly taken a bite of the most troublesome abnormality, and it is possible that it has missed it entirely.
You may have asymptomatic prostatitis, which would be the good explanation.
You may have undetected significant cancer.
With your set of facts at your age, I would be immediately looking for a 3-TESLA multi-parametric MRI at a center of excellence, where any subsequent biopsy is performed in-bore MRI by the same person who analyzed the images and identified suspicious areas. Unfortunately such centers are few and far between, which is why technically deficient methods are still so widely used.