Typically you may be right. But if that PSA is elevated, a positive biopsy might still get an overreaction if the true PSA is say 5. Not all lumps are cancerous...
Yup, like I just said to F8, sometimes lumps on a prostate are benign. And as I understand it an infection can indeed harden a prostate or a portion of it. Palpability is just one of the tests. But more information may be attainable than the PSA such as PSA velocity.
Guys it is standard protocol to check for infection before a biopsy. It would be controversial to skip that step in diagnosing a patient...
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7
Da Vinci Surgery ~ 2/16/2007
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.