Welcome to HW. I think you are wise to be pro-active about your results.
Your GP is right on the spot for the referral. The Urologist has several ways to go, depending on his personal protocol. I would expect the following from mine: a retest of the psa using the Urologists preferred lab (no orgasms within 3 days before), followed by a good digital rectal exam. If the psa was still elevated to near the 3.17 and/or the prostate is enlarged, mine may prescribe a course of antibiotics and anti-inflammatories then retest the psa again. If your psa is still up, expect to be schduled for a biopsy. Each doctor has a different approach and protocol, yours may go straight to a biopsy, or may take the more conservative retest/drugs/retest approach. I hope I've given you enough info that you can discuss the process with him/her at your appointment.
Co-Moderator- Prostate Cancer Forum
4/19/07 PSA 7.6, referred to Urologist, recheck 6.7
7/11/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/24/07 (open) Retropubic Radical Prostatectomy performed
9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07 ED- begin 50mg Viagra and Vacurect pump nightly, Fully continent
1/14/08 Caverject started/stopped, aching. 2/24/08 .5ml Bimix started-success
7/4/08 ED- Viagra, pump continues, no response- Trimix .10ml x 2 weekly continues
Post Surgery PSA's: 3 mts-0, 6 mts.-0