I need your opinion about my father. He is 75 years of age. His Urologist recently performed a DRE and said that it didn't feel right and that my dad needs a biopsy. My father has an enlarged prostate (I don't know the size but I was told that it's very large) and he's been on Proscar for the last 8 years. His psa level is 4.0 and has been pretty much stable with the exception of several years ago it jumped to a 16 and then slowly went back down to 4. The Urologist said it was probably an inflammation of some sort and didn’t do a biopsy.
My dad went for a second opinion to a very well known Urologist in Manhattan. He examined my father and said that he did feel something during the DRE but thinks it could be an inflammation. His advice was not to do a biopsy for now and see if the psa goes up within the next 6 months. He also said that since his prostate is so large that he wouldn’t be a candidate for seeds or radiation.
What do you think of this wait and see approach at this point? What do you think my dad should do at this time?