Newbie here, just got a PSA score of 12 with no prior symptoms.

Greetings:
Sorry to hear about the high psa #, however it MAY not be as bad as it seems, because other things, specifically BPH can cause a high reading.
In my case the psa was over 20, however i had BPH which probably masked the cancer.
You may want to have several psa tests to see how fast, it at all, it is doubling. Generally if it is slow growing you may want to just watch it.
You may want to have a PSMA-Pet (if available in your area), to see if there is any cancer in other parts of the body. If it is negative that is a very good sign.
In other words, it is possible that you do not have cancer, and i hope that is the case for you.

Since 2011 PSA was .97 riding about .07 a year now 2025 at 2 .I do Ed other then slight very mild leakage okay. Thanks for your very informative answer. It's was appreciated.

You have very good advice here from all. Remember, you (and your family or personal support) are your best advocate. Never hesitate to question what you are told and to seek a second opinion. After 8 months of missed diagnosis, I was diagnosed (finally) at 73, stage 4 Gleason 4 + 5. Metastasis to pelvis, spine and ribs. PSA never > 4.0. Initial diagnostic work was at a major university medical center. Told I had BPH and it takes months for tamsulosin to work. Symptoms progressed, never was scheduled for a urologist, NP only. MRI is “backed up”. So was I. Went for a second opinion, diagnosed in a week, TURP and chemo the next week. Currently on Yonsa and Lupron. Scans the past 2 years have been clear, another round this week. I consider PC is another challenge adventure in life that is to be dealt with and defeated. Don’t blindly trust in your medical system if it does not seem right. Hopefully you will not get the positive diagnosis. If you do, go into treatment optimistically and with the best team that you can find. Stick with this support and discussion group, there is an immense amount of information here based on experience. Best wishes to you.

Take a deep breath and don’t get lost in the weeds. Always look for outcome studies not the calculus equations and molecular biology. A urologist is a surgeon so guess what his bias is going to be. Instead look for an oncologist who specializes in prostate cancer. He will not push surgery unless it’s clearly necessary. If you need a surgeon he will refer you. Try to get someone you are comfortable with. Outcome studies mean that you want to live longer or have less symptoms. If the treatment does neither think carefully before you chase after perfection. These surgeries and radiation treatments have terrible side effects at times. On every treatment you should know the risks, benefits and alternatives before you sign on. Prostate cancer is usually very slow growing and in medical school they teach that usually you die with prostate cancer not from it. Good luck.