Well, without a clinical evaluation it would be difficult to determine the cause of your symptoms. Likely possibilities include genitor-urinary infection, spinal/ GI issues, growths/ masses etc. With a PSA of 0.3, the chance of this being cancer are minimal and the symptoms are more likely to be due to a benign hypertrophy/ BPH. Also enlarged lymphnode could occur in both while with your evaluation this is more likely due to an infection/ inflammation.
Hope this is helpful.
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