Hi, I’m Asian. I had a high PSA reading as part of a routine health check when I was 31 in 2015 slightly above 4. I saw a specialist who told me I’m too young to be considered a candidate, he did a DRE and MRI with no abnormal findings, gave me antibiotics but the PSA didn’t go down, but he suggested wait and see. I saw another specialist in 2019 and did another PSA which was about 5 who told me the same thing and told me to come back when I’m 40.
I have no family history, I don’t smoke and am only a moderate meat eater. I recently did another PSA in 2022 December as part of routine health check and had 4.9, and my ESR rate is 27 but I’ve not seen a specialist yet. I’ve researched and thought about this a lot and decided that I may want to do a biopsy and perhaps prostatectomy.
I’d like to seek some advice on pros and cons of biopsy and prostatectomy in my case. I’m also wondering if I can insist on having a prostatectomy done even if assuming biopsy results is negative. Also, can I ask for a biopsy immediately if the doctor ask me to wait and see again?
Thanks for the advice!