My point is that a digital exam is, IMHO, one of the most basic yet needed exams for your prostate. Many tests have shortcomings, including PSA levels, but when combined, they prove pretty effective in the discovery/treatment of PC.

My prostate was "lumpy" for 2.5 years before I insisted on an MRI. My PSA levels hovered around 2. It was the MRI and biopsy that proved the cancer and it was large, aggressive and outside the prostate but not metastasized.

All of the diagnostic tests, put together, paint a much more accurate picture.