Wishing you the best! When you go in next time, please ask him if you can get MP-MRI (3T-MRI). The chief urologist, who first treated my husband, explained to us that PSA is like an engine light. Once it comes on, it means to get the engine checked. Similarly, once your PSA is above the recommended level, you should get a thorough check. It can be just infection, or worse: it can be cancer. The key is to get it tested further. The goal is to catch cancer as early as possible if there's one.

We live in Germany. My husband was 47 when his PSA was elevated to 5.2, finding it from PSA test during his physical check-up (Feb 2021). He had NO symptoms. Our GP referred him to the chief urologist at the certified prostate cancer near our house. We met him in March 2021. DRE was normal, but he ordered an MP-MRI anyway just to be on the safe side because it's uncommon for younger men, like him, to have this high PSA. Sure enough, MP-MRI showed one big and one small suspicious lesions on the side of prostate gland that DRE cannot access. DRE only get to the back wall (posterior surface). His lesions were assigned PIRAD 4, so he got MRI-guided fusion biopsy in April 2021. It confirmed prostate cancer (5 out of 17 cores- 4 with Gleason 7(4+3) and 1 with Gleason 8-only 5%). After exploring through all treatment options, he decided to get surgery.

Going through this uncertainty is definitely psychologically and emotionally challenging and exhausting. However, knowing all aspect of prostate diseases, including cancer, including treatments and side-effects is helpful. When we dealt with diagnosis, we were like deer hitting on by the headlight. It's very difficult. I've spent my almost 5-year post his treatment to research and gather information on everything. He's currently experiencing recurrence, but we have been doing much better psychologically and emotionally this time around because this time we know more and see how advance medical world is.