I think that a retest of the PSA from the same lab would be prudent. If that does not give you an answer the get an MRI. If you still do not have an answer then perhaps a biopsy. You need to be proactive but do not panic. Prostate cancer is slow growing but if you have it you want to address it before it spreads to outside of the prostrate. Finally, get care at an excellent cancer center, not your family practitioner. Good luck