Dr. Strum says psa velocity and doubling times are red flags for (further tests),.A Psa number by itself is not PCa specific...maybe if seen with psa of 1000 or more, then probably could say it is specific.
Your urine test for possible prostatitis?....who knows if that is totally accurate for such, alot of time this cannot even be diagnosed for patients.
There is a new urine test called PCA3 that can be accurate for detecting some level of PCa being envolved. Talk to your uro-doc or google Dr. Bostwick or www.bostwicklaboratories.com
to read about
You could go and get the fPsa testing- not totally definitive of course, but via percentages of unbound prostate specific antigens, it can be measured to show possible likely hood, uro-doc could get that for you, too. The lower percentages measured are very likely for PCa....i.e. say 20% or less...is very likely to be because of PCa.
You could put off biopsies for a little while if you wish to see the results of these tests, first.
If you get biopsies ask for local anesthetic to avoid some pain from this. Realize PCa is a wild world and full of inconsistencies etc.
My uro-doc did not mention anesthetic for biopsies, of course he did alot things incorrectly after I took time to investigate more....he got fired later and his cash cow for Lupron had left the building. (lol)