I am 67. PSA has been above 4.0 since age 50. I have been on a “watch and wait” regiment ever since, with PSA tests 2X per year. Over the last 10 years, I have consistently tested above 10.00 — mostly in the 13 to 17 range. I have had four biopsies and three hi-resolution MRIs. The best they can say is that I have “suspicious area that we need to keep an eye on” and that I have a very large prostate (BPH).
Most recently, my urologist has prescribed both the IsoPSA blood test and MPS2 urine test, both of which predict the likelihood of developing clinically significant prostate cancer over the next few years. My test results show that I have a 20% risk, which is high, but not so high to warrant another biopsy at this time. Watch and wait.
My PSA was so low, it arrived in the mail addressed to Mrs Appypappy