Welcome here. I understand the fear at this point. Keep in mind, the high PSA number can simply be related to non-cancerous prostate problems, the enlarged prostate, infection, etc.
You said you are going to meet with a urologist soon. Good. He/she will want to do a DRE Digital Rectal Exam, the finger of the bum, to see if they can feel anything, perhaps you have had one recently or in the past.
The only way to know if you have Prostate Cancer PC, is to submit to a prostate biopsy. Has one been ordered or talked about? Not the most pleasant thing in the world, but we all get through it. Most men can endure them without big issues, some have had to be put asleep. I had 3 of them, most men only need 1. It is possible to show negative, then the doctor will monitor and decide to do another later, depends on a lot of circumstances.
Even if you test positive with the biopsy, there is no reason to assume you have advanced PC, again, too many unknowns and factors at this point. In your case, you already have non-cancerous prostate issues going on, so that alone could cloud the real PSA issues and numbers.
Best thing is to calm yourselves, I know no easy, and have that appt. with the urologist with an open mind. Please report back what you find out, or if you need a biopsy, we can give you good advice about the procedure. As is often said here at this forumn, the best way to overcome your fear, is with knowledge. The more you learn, the less afraid you will feel.
David in South Carolina
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence: 1 Month ED: Non issue at any point post surgery
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped 9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/10 - Corrective Surgery #4, and Caths #11 and #12 in at the same time