Thanks for writing to us.
Given the rising trend of serum PSA levels seen on your exams, the following protocol is recommended.
1) First of all Digital Rectal Examination (DRE) is a must to assess the size of the prostate
,and to rule out presence of a hard nodule which indicates possibility of malignancy.
Scanning and Scanning with Trans Rectal Ultra sound
Probe is done to see any hypo echoic lesion in peripheral zone of the prostate.( Which suggests Malignancy)
If findings of above tests are positive then one has to go for C.T scan and MRI
and Trans Rectal CT guided multi score Biopsy
If these tests are negative, then we continue to monitor.
Hope that helps.
Feel free to write if you have any more questions.