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Here is another side of the coin. At age 59 I had a psa of 4.1 (Dr. sent me to a urologist for a consult). He recomended a biopsy. Report came back positive for PC. I had no symptoms and a negative rectal exam.
Dr. thought surgery appropriate and after investigating my options we went ahead. "Thank-Goodness"
Final path report showed seminal vesicle invasion.
Have also had some salvage radiation. I can only imagine what would have happened if I had waited. Turns out the cancer was more aggressive than the biopsy showed.
Just something to think about.
Best of luck.