Anyone with a PSA in the 11's or close?

Other very experienced members here will soon explain all of that in detail, but in the meantime I just want to say that your 11 PSA does not have to mean that you have cancer.

It is impossible to even know IF you have cancer before first MRI is done, and than after that if anything is suspicious a targeted biopsy. And than after that a PSMA scan to check for possible spread .

Person can have elevated PSA for many other reasons - like enlarged gland, or inflammation etc. I am flabbergasted and shocked that they told you to put your affairs in order before other confirming tests were done ! Even if it all turns to be true, PC patients nowadays have so many advanced treatments that "affairs" will wait for many years, if ever *hugs

Can you go somewhere else for a second opinion ? Do you have close-by Cancer Center of Excellence and go there to seek help ?

@surftohealth88 My new GP made the affairs in order comment. Just switched to him. I plan on shopping around for another GP once I get this whole PC thing figured out. The Urologist was more I think prepping me with potential outcomes most likely due to my questions, but I can get 2nd opinions if and when it gets to that point.

At a Mayo clinic they have talked about the fact that the highest PSA they saw was over 20,000. I know many people who had it in the hundreds some even over 1.000. In those cases, Prostate cancer is pretty certain.

Most people with prostate cancer don’t have any symptoms at all, Even with very advanced cases.

Your problem peeing could Be just BPH which causes your prostate to enlarge and causes your PSA to be higher than normal. Had a friend whose PSA was always around 50 had multiple biopsies and they never found anything.

After the MRI and biopsy, if the MRI shows something you will know a lot more.

Everybody with prostate cancer is different so if you talk to somebody with a PSA of 11, they could have a totally different case then you have.

Hope everything works out well.

Good move to look for other doctors. Any GP or Urologist that told me to "get my affairs in order" with a PSA of 11 without any other tests would make me run to find different doctors. They have no right to tell someone that no matter how high the PSA is. Especially without other tests being done. PSA is just one piece of the puzzle. And like Jeff posted there are other reasons for high PSA. If you read on this and other forums there are people with much higher PSA's that cancer has not spread and treated successfully living normal long lives. Wishing you the best

you need new docs !!!
..PSA of 11 could be from many reasons aside from PC..worst case scenario that you do have PC, then prob a variety of treatment options...you need a new urologist, a 3T MRI ( 3 Tesla machine with contrast) then asses situation...I suspect you will be around for quite a few more Christmas seasons !

PSA 60 here.

Hi...My PSA was 30+ so a little above yours. Had biopsy... (Gleason 9),
had PSMA PET scan...
...malignant neoplasm of prostate
...malignant neoplasm of intrathoracic lymph nodes
... malignant neoplasm intrapelvic lymph nodes
...malignant neoplasm intra-abdominal lymph nodes
...malignant neoplasm of bone

Doctors reviewing all tests:
PCP
Urology
Genito-Urinary Oncology
Cardiology
Cardio-oncology
Medical Oncology
Radiation Oncology

Not one of them said, "Get your affairs in order." They all said, "OK, here's how we fight this."
Methinks you should ask Santa for a new medical team for Christmas.

(Oh...and I'm 70 years old)

@thig350
I had a psa of 10.2 and a 3+4 Gleason. Treated with built in MRI radiation machine in 2023 and am fine but watchful every 3 months. My brother had a PSA of 6.5 at the same time and it became very complicated and progressed rapidly.

Take a PSE test which is a 94% accurate (vs psa test of 55%) biomarker blood test to tell you whether you are likely...or unlikely to have prostate cancer. Oxford Dynamics makes the test:
https://www.94percent.com/
Absolutely!!!!! get a second opinion from a center of excellence doctor using telehealth. Doctors are dedicated but are not infallible.

The MRI should give you more info like prostate volume, suspicious lesions, density, a pirads score and maybe some characteristics of a benign issue which should help guide the biopsy decision. My PSA’s have been 8,7,5,4,7,6 in 2025.

@ezupcic “get your affairs in order” really? that seems sort of unprofessional. I hope he was referring to Christmas shopping.

I had my first biopsy when my PSA hit 6 and it was Benign. My second biopsy was when my PSA hit 12 and I was Diagnosed, given a Gleason score, etc. I had a PSE test right before my second Biopsy and it came back as highly likely that I had PC. But a PSA of 10> does not necessarily mean PC.