Ca prostate,how to move forward in management?
60 years old gentleman,just retired on health chech up, have two psa of 9, n,14 with no urinary symptoms.on examination all normal DRE- normal
All blood reports,urine reports r normal.
usg abdomen normal.
He read in Google that raised psa is cancer..
He is advised for radical prostectomy by some , asking for the operation.
How to proceed for investigationg this patient??
Without going for mri prostate ,can we directly do trus guided biopsy for this case?