I'm a 50 year old man that had a PSA reading of 4.5 in a recent blood test/physical. Since former measurements were in the 2.4 range, I was referred to a specialist. In the urologist appointment, no DRE or repeat bloodwork was done. They simply said I needed a biopsy. The 10 needle TRUS biopsy revealed HGPIN and now they want to do a saturation biopsy.

In the initial appointment, I stated that I recently had a month or so of symptoms of prostatitus (about 3-4 weeks prior to the elevated PSA test, but they did not seem to feel this was significant data point. Those symptoms vanished as soon as they came on, but I have read that inflammation can give a false diagnosis of HGPIN sometimes.

Should I have first been treated for an infection, or is this process typical, given my relatively young age?

Thanks.