@woojr
Most R/Os and urologists will wait to see if your PSA continues to rise and not look a what they call bumps. Every R/O and urolgist I have seen after I had radiation therapy for prostrate cancer to expects bumps in my PSA. What they look at is the continuing rise not bumps.

You can have prostrate cancer and your PSA be normal. Mine was found when my PSA was 3.75. So PSA was normal but the continuing rise in my PSA every 3 months was not. MRI showed areas of concern. Biopsie confirmed prostrate cancer. So do not let a number steer you if your PSA continues to rise.

I was told by R/Os and urologist to not ride a bike nor have vigrous sex a week prior to having your PSA test done. I have my next 3 month PSA test coming up on 07/17/24. So far it has gone down from 3.75 to .44. So I am way below the goal of having it below 1.

Again a PSA tests showing continued rise over years should be addressed regardless of the number. It could be just prostrate irritation but could also been cancer as again my PSA number was 3.75 which is normal and I did have prostrate cancer.