I am 72, and have had an enlarged prostate for over 10 years. On a couple of occasions in that time, I had the DRE treatment (not my favourite) and was told that the prostate was smooth, and that there probably wasn't a problem. More recently, I had a PSA as well, which was a bit high (over 10), though the consultant wrote this in my notes: "Your PSA level for the size of your prostate is comparatively low (PSA density) which is reassuring."
So - first question: Is the PSA high or low? Where can I find out some table to indicate how size of prostate affects the interpretation of PSA scores?
Three months later (recently), I had another PSA test - the figure had gone up to over 11 - a small increase, or a cause for concern?
I also had an MRI, with this comment: "(the) MRI detected at least one equivocal area which may indicate an underlying abnormality. This might represent a small early prostate cancer or a benign process such as inflammation... we are not able to establish a definitive diagnosis..."
I am not sure how worrying that is, in conjunction with the rest!
The current plan is to monitor the PSA level and repeat the MRI in 6-12 months after the first - in other words, in 3-9 months form now. I have been told, though, that I can have a biopsy sooner if I want it.
My current feeling is that I'd rather wait on the biopsy until the next set of results (in December, probably) - is that a sensible approach? I know there isn't a 'correct' answer here, but I have low platelets as a result of leukaemia and treatment for that, so it seems to me my risks of bleeding and/or infection are greater than average.
I don't expect any miracle answers here, but just a little discussion. Any advice or comments will be much appreciated (even if I don't necessarily follow the advice ;-) )