A couple of thoughts/questions:
1. Was this his first PSA test? If not, has there been a change in his PSA over time?
2. Was anything felt on a DRE?
3. Does he have any urinary symptoms like frequency or urgency or getting up a lot in the night? Has the doc considered prostatitis and tried a treatment to see if the PSA comes down?
4. Is this a urologist saying he needs a biopsy? If not, he should go to one. If so, why was he seeing a urologist...was it a referral because of the PSA?
5. Did he have sexual activity prior to the PSA test, which can cause a rise?
6. Did he have a free PSA % test and, if so, what were the results?
I would suggest answering these questions and, depending on the answers, perhaps consider another PSA test and free % before proceeding to the biopsy.
Gleason 4 +3 = 7
2 of 16 cores cancerous
Brachytherapy December 9, 2008. 73 Iodine-125 seeds. Procedure went great, catheter out before I went home, only minor discomfort. Regular activities resumed, everything continues to function normally as of 5/1/09.
Tudpock's Brachytherapy Journey: https://www.healingwell.com/community/default.aspx?f=35&m=1305643