Prostate enlargement or disease can be considered. This can be evaluated with a digital rectal exam, followed by a biopsy given the rising PSA level.
Regarding the urinary leakage, a cystoscopy can be considered to evaluate the anatomy of the lower GU tract. Various metabolic diseases can also be considered - including looking for diabetes, thyroid disorders or infection - all which may lead to incontinence.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
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