First, welcome to HW, sorry you have to be here. I am assuming your doc referred you to a urologist- the specialist you mentioned? With PSA that low and you other symptoms/complaints/results, I would lean much more toward Prostatetis, Benign Prostate Enlargement, or some other active condition, rather than prostate cancer, if that's where your worrying is leading. Not ruling it out, of course, but there's other things to check out first, which I am sure the urologist will do. A round of antibiotics, further DRE's, maybe some scans, and blood work is ahead. A biopsy may be recommended somewhere in the process. Usually the procedure from referral from the doc to the urologist is a through DRE, a round of antibiotics, a period of waiting for the antibiotics to work and clear out, then a PSA test. If the doc feels anything on the DRE or has any unresolved issues, he may want to do a biopsy to see the actual condition of the gland is. As it stands now, I'd lean toward it being a combo of infection and enlargement and less the chance of a cancer. But that's just my wild-guess opinion. Your specialist will be able to find out quickly, most likely.
This was the standard course of treatment I got. I had years-long BPE, chronic prostate infections and a high PSA. After antibiotics the PSa dropped from 7.6 to 6.7, but I continued with the chronic infections and BPE. Exam didn't reveal any lumps, etc, but the biopsy found cancer in the gland. Gland removed, BPE eliminated along with the years of infections, and I could push the scent block halfway up the back of the urinal... Almost worth the tradeoff..
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing
open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
24 mts: PSA's: .04 each test since surgery, Bimix .3ml PRN or Trimix .15ml PRN