(No Subject)

That would be concerning to me. Last year's PSA was high enough, but this year's shows it is not going down. I'd want some additional testing before I conclude it is "nothing."

I'm sure some of the more experienced guys will be along soon to advise which tests might be more useful to you. My case was really straightforward. First elevated PSA led to first biopsy, and bingo. . . we have PCa.

Hi Mark-

It may just be some prostatitis. Sometimes antibiotics help, most often it doesn't. They usually just wait a few months and retest. How big is your prostate? Did he feel anything on the DRE?

When they do retest, I agree with Andrew that a PHI test is better than just a PSA. It includes PSA, but also some other stuff that may help differentiate cancer from benign causes a little bit better. It's cheap and covered by insurance. Because you already had a previous negative biopsy, your insurance should cover a PCA3 urine test too (after a prostate massage).

If suspicion remains after those biochemical tests, you can request a multiparametric MRI, which can find suspicious areas in the prostate to be biopsied in another biopsy. Hopefully, you won't have to go through that.

The doctor that did my biopsy, did mention that I had a small prostate, if that's any help. I go back to the doctor on Monday, to see what recommendation he makes. I have a better understanding of what options I have. I want to thank you all and truly appreciate it .