tinamaria1: the higher exodx may have him thinking cancer is a possibility and of course, everybody processes the concept of cancer in different ways.

The PSA numbers do vary regarding its indication of cancer and treatment. My brother had a PSA of 6.5 with prostate cancer that metastasized outside of the prostate. I had a PSA of 10.5 but my prostate cancer was contained in the prostate.

Get as many different opinions from doctors from different centers of excellence as your budget will allow. There is a natural bias that can occur with doctors. It's important to compare opinions.

If the MRI shows something (an MRI fusion is a reasonable choice), come back to this web site and ask your next step questions. People on this site are very generous with their time and their opinions are based on real experiences. They will answer many questions and raise some new ones. The answers are not always black and white but research will help you and your bf make educated decisions based on his and your needs. There are a number of choices and directions but take one step at a time. You and your bf will have a lot of support.