The PSA test will need to wait for a while after the prostatitis has cleared, and certainly for some days after the digital rectal exam (DRE). Likewise, avoid sex, cycling, and horse riding for a few days beforehand. Otherwise, you'll get an artificially high reading.
Until you've got some test results, no one can really comment, but I never heard of anyone under 40 having prostate cancer, and even under 50 is very rare.
I have lower back pain too, but my MRI scan for cancer showed this was due to dehydrated disks, not prostate cancer. It's easy to imagine almost any symptom might be prostate cancer, but people without cancer get all these symptoms too. Enlarged prostate often causes urgency. Enlarged prostate is more often not caused by cancer (and cancer happens on normal sized and enlarged prostates). And by the way, the most common symptom of prostate cancer is...
nothing.
As to what to expect, when they have your PSA level, they'll decide if to continue with further diagnosis or not. Your GP should be able to organise a PSA test.
If they continue with further diagnosis, ideally you will have an MRI scan first, and this will decide if you need a biopsy, and what sort (TRUS or trans-perineal template biopsy). None of these procedures are painful, just a bit uncomfortable. Results typically take 3 weeks to come through.
If you like, let us know what your PSA level is when you have it.
Edited by member 30 Apr 2019 at 15:09
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