Continue PSA surveillance or have a Prostate MRI?
I'm 72 and taking tamsulosin for BPH, it's working. My recent annual Total PSA was 7.41, lower than last year's 8.35 (it was 4.5 in 2018 and has increased a bit annually). However, my Free PSA/PSA Ratio was 29% (it's been 25-32% range since 2018). Both my Urologist and PCP claim my PSA test results point to my BPH and not cancer.
That said, my Urologist recommended I consider having a Prostate MRI, to see if I have any cancer, and if not, possibly save me from an unnecessary biopsy. What to do?
Given my test results and BPH, I'm thinking of continuing my surveillance for now, possibly increasing my PSA test frequency, if my doctor recommends. Wishful thinking or have the MRI?