You could obtain a "freePSA" test, but Considering your prostate size, your PSA figure and PSA density of .11 doesn't seem unusual.
Has there been an upward PSA trend?
Actually this is my initital round of tests and/or diagnostics. Only a few weeks ago I had the blood test and today I'm investigating diagnostic choices. My Father's doctor, Dr. Brian J. Moran at the Chicago Prostate Cancer Center, published a paper in the "Journal of Urology" in October 2006 regarding stereotactic biopsy. He is a proponent of using the procedure for early PCa detection. His recommendation is for me to have this procedure in light of my Father's cancer and the fact that my Uncle had a radical prostatectomy.
He suggested that he would take from 27 to 40 cores. Apparently the average is 1 sample per 1.44 grams of volume.
What is PSA density and how did you derrive the .11 number? It looks like its the PSA divided by the volume. What is the significance of the value? I'm new to this and am craving information.
I am age 47 - Father, Paternal Uncle and Maternal Grandfather had/have Prostate Cancer. Father 72 years old, PSA = 10.6 Gleason = 5 + 5 = 10 (very aggressive) and high involvement in all cores. Seed therapy is the only option. Father died cancer free.
6/4/08 - At physical DRE normal, PSA test returns 4.4
6/20/08 - First Urologist visit. DRE and ultrasound finds nothing conclusive. Doctor says biopsy is the only safe way to go. Prostate volume is 40 grams.