I am a 54 year old man with prostate problems. In June a routine physical showed a PSA of 3.14, and high levels of white and red blood cells in urine. In late July, urine sample still same result. PSA now 5.4, free PSA <10%. Doctor put me on 1 month of antibiotics. Saw urologist mid August, who requested semen culture. Was told no prostrate infection or enlargement, but needed a biopsy.
Received biopsy results today all negative from 12 samples, but all reported chronic inflammation and mild atrophy.
Urologist states this biopsy is more accurate than PSA tests, and he wants to see me in 6 months.
I am concerned as PSA is rising, have moderate pain in buttocks and lower back, plus in groin and testicles, lots of discomfort. Father had problems before he died.
Should I listen to urologist or seek a second opinion. I go to toilet frequently day and night.