I'm surprised he did nothing when his score was 6. Don't wait a year. Talk to the urologist, ask for his reasoning. But in my opinion, there is no reasoning here.
He should be put on a round of Cipro (to see if it goes down, in which case it would be an infection). Then get retested in 6-8 weeks or so. At that time, ask for a free PSAto be done as well,. Or oneof the newer tests, called PHI (Prostate Health Index). I've seen some of the more knowledgeable guys here talka bout it, and say that its a bettertest that a PSA. I'm sure they;; soon chime in.
High PSA does not mean he has cancer. It just means something is going on. It could be a number of different things.
Still, Having a PSA of 6+, and doing nothing but reetest in a year, makes no sense.And getting a reading of 8.9 a year later, and doing nothing, makes even less sense.
Was there a DRE done? Does he have an enlarged prostate? BPH?
High PSA doesn't mean
Age 64 (in 2014), PSA Feb 2006 - Nov 2014, PSA rose from .7 to 4.3
Nov 2012 - Biopsy - 14 cores all negative for PCa, 1 showed Hi Grade PIN
Nov 2014 BX 3 of 12 cores positive original pathology G6 10%, G6 20%, G8 (3+5), 70%.
G3+5=8 downgraded to 3+3=6 @80% by Dr Epstein, JH
Surgery with Dr Ash Tewari Jan 6, 2015
Post surgical pathology – G7 (3+4), ECE, Margins, LN, SV all negative
PSA @ 6 weeks 2/15, .<02, 4/15 <.02 7/15 <.02
My Story: tinyurl.com/oo9x4aq