Usually, the best next step is to have the doctor that ordered the PSA to prescribe antibiotics and schedule another PSA test (both total and free) in about 3 weeks. With how much time it takes to get appointments you can knock out or confirm the inflammation possibility (first thing a urologist will do) and determine if your free PSA percent has a high probability of cancer. Otherwise, you will probably be just waiting for those 3 weeks for your next appointment. If the retest shows your PSA has dropped to about 3 and you have a high PSA (higher is better on this test) than you will have cleared yourself before the appointment.