As I never got a satisfactory explanation regarding my diagnosis following my MRI scan, just a letter stating "your recent MRI scan and essentially it doesn't show anything worrying", which I read as it does show something but I am not worried about it and I am not going to tell you what it is. When I asked for a callback from the urologist to discuss, I simply got another letter which this time stated "I just wanted to reassure you that sometimes the PSA can rise but in your case this is not a worrying feature. I have used all the pieces of the puzzle to characterise your clinical condition. Your MRI was very encouraging and all we need to do is keep an eye on things with a follow up in six months", which I read as there is something going on I have no idea what is causing it but I am not going to investigate further.
I then wrote a letter posing specific question at the begging of December re my diagnosis. I called his secretary 3 weeks later who confirmed it had been received but not responded to yet. I called after Christmas to be told they couldn't find the letter, so I emailed a copy to them. I am still awaiting a response from the urologist regarding my questions re diagnosis but I spoke to the urologists secretary today and advised that if I didn't have a response by Monday that I would be raising a complaint, lets see if that stirs any action. I expect not.
I was having a blood test on Monday for something else and asked my GP to include a PSA test which they kindly did. It has stayed the same, so still at 15, so at least it hasn't gone up in the last 3 months, but still no explanation as to why it is so high. It is now 7 months since my biopsy, so if the elevation was as a result of the biopsy, then I would have expected it to have settled down some by now.