I have recently had a DRE which discovered an enlarged prostate with one small (3mm) nodule. A PSA was taken and I have a .8 on that test. I will be seeing a urologist soon, but I was wondering if I should be asking to take the free PSA given the unstable nature of the PSA test itself. For background, I am a 41 year old caucasian male, with no other health problems that I know of, but am presenting with symptoms that could be a number of different diagnoses. Any insight would be appreciated.
Also, any tips in dealing with the specialist would be great.
I had PSAs over 4 for several years but because I had BPH and a negative first prostate biopsy I was hesitant to have a 2nd biopsy when my urologist recommended one. I decided to have my family doctor do another PSA and I specifically asked him also to do a free PSA test. The PSA actually came back lower than my previous test but the fPSA came back at 10.8, which indicated a high probability of cancer. I had the 2nd biopsy and it came back positive for cancer with a Gleason of 7.
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