Prosatatitis is notorious for raising PSA levels, and with your history, there is still a possibility that the PSA levels are being caused by irritation of the prostate. The weak streams, etc, could also be caused by BPH, which also could be a cause for higher PSA levels.
At a minimum, you need to get a digital rectal exam, which if it is abnormal, should be followed by a biopsy.
I guess my point is that you should try not to assume anything until you get to see a good urologist. I am not sure I would choose to see a PA at this point. You need to see a competent doctor.
Good luck, and stay calm. Hopefully your stay here at HW will be brief.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic 4/14/09 Nerves spared, but carved up a little.
0/23 lymph nodes involved pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free 6 week PSA <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED. Trimix injection
No pads, 1/1/10, 9 month PSA < .01
1 year psa (364 days) .01
15 month PSA <.01