Unfortunately, a small number of men are diagnosed with PCa in their forties and where this is a possibility, it is important to investigate quickly and where appropriate take early action because the cancer has many years to develop. Some hospitals tend to scan first and then biopsy. This has two advantages, it can help show any suspicious areas to direct the biopsy and it means the prostate does not have to heal before a scan can be done. Others hospital do biopsy before MRI.
Until any positive biopsy cores show otherwise, there could still be other reasons for a high PSA. You could have still have some urinary infection (these can sometimes be difficult to identify , and enlarged Prostate or PIN cells that are not quite normal but have not yet changed sufficiently to be called cancerous. Certain other activities can also raise PSA such as riding a cycle a day or so before the test and sexual activity before the test. The latter if very rigorous can also lead to some blood in semen and urine.
You may still have another PSA test and DRE by the Urologist before having a biopsy. I assume it was your GP who suggested you would go straight to biopsy.
Thanks for your reply Barry. I’m hoping for an infection (as strange as that sounds) just because I had a show of blood which hasn’t repeated since and I wasn’t feeling well at the time. I’ve also read that prostatitis is common in younger men. I’m certainly hoping the Urologist goes for another PSA, DRE and scan before a biopsy as I’ve heard a PSA result is only meaningful when taken as a trend. Anyway, i’ll Know more in a week. It’s the waiting that’s hard. Thanks again.