I am 63 yo. My psa has been rising as follows. 6.4 May16. 6.9 Nov16. 8.1 Aug17. 9.1 Jan18. My Urologist has been wanting to do biopsies since mid 16. After I did some research I paid for a multi parametric Mri scan in April 17. The results were as follows. Prostate volume 93cc (large). Psa density 0.07. Prostate intact. No significant abnormal diffusion restriction or signal intensity in peripheral or central zones of prostate. Seminal vesicles normal. No pelvic lymphadenopathy. Conclusion. PIRADs 2 ie presence of clinically significant prostatic malignancy is less likely.
Even after the mri results, my urologist still wants to do biopsies. Could there be some other reason for my increase in psa rather than PCa? I am thinking of paying for another mri soon to see if there are any changes. Surely the scan would pick up any abnormalities? Would appreciate any help as I'm not sure if I'm doing the right thing.