Diagnosis

Morning Swede and welcome

It doesn't have to be PC, could be BPH , enlarged prostate

But only further tests will tell what's going on, it's impossible to speculate.

The MRI may show a dark/shadow area which could indicate PC but a biopsy would be needed to be certain and to give a Gleeson score which indicates aggressiveness.

Your Psa is still low so hopefully if PC is confirmed it will be a slow growing affair confined to the prostate and therefore easily treatable.

Best wishes

Steve

Swede,

Same as the above post really.  While PSA levels are the be-all-and-end-all for prostate cancer patients, it is a really unreliable test especially on its own.  The only sure way to know is a biopsy.  For a man aged 60-70 normal PSA can be up to 5.5.  For 70-80 it can be up to 6.5 although a simple ratio used elsewhere as a rough guide is 50-60 = 5, 60-70 = 6, 70-80 = 7 and so on. 

PSA tests can be affected by some very simple events:  having sex 24 hours before will raise the reading as will riding a bike.  It is also affected by the time of day and can be different in the morning from late afternoon.  So a reading of 5.4 on its own with no other evidence should not cause you worry and distress especially as the other symptoms appear normal.  If you are seriously worried then a biopsy is the only sure way to find out.

Hopefully you will not join this club.

Regards 

Thanks SD1

Thanks Steve