Re: Rising PSA but no prostate enlargement
Three things cause one's PSA to climb: BPH, prostatitis and prostate cancer. BPH is unlikely with a prostate that small, but finasteride can reduce it if it's BPH. You can take an antibiotic like Cipro to see if the PSA goes down due to prostatitis. You have to get a biopsy to determine if it's prostate cancer. PSA of 10, increasing quickly, and small prostate volume (high PSA density) are indicators, so I would schedule a biopsy very soon -- didn't your Urologist suggest it?