In my experience, the PSA indicator didn't serve as an effective tool. Despite my PSA levels remaining between 2.2 and 2.6 for years, I experienced no notable issues, apart from common aging discomforts like occasional incomplete voiding. It was incidental that my doctor recommended a visit to a Urologist after discovering urine retention over 150 ml on a USG. Subsequently, following my first Digital Rectal Examination, my diagnosis escalated to Gleason 8 with metastasis to several lymph nodes, bladder neck and seminal vesicles. From my personal standpoint, I believe a DRE stands as the gold standard for detecting Prostate Cancer.