Well, he suspects this may not be BPH but prostatitis.

He feels the sudden onset of much worsening symptoms and the type of
pain/discomfort I have is much more typical of prost.  So... he is
prescribing a 30-day course of Keflex (I cannot take Cipro or Bactrim, his
first 2 choices).

We shall see what happens.

DRE was perfectly normal and we did do a PSA 15 minutes after the DRE. I
said I hope the DRE doesn't artificially jack up the PSA but he said he
would only be concerned with a HUGE increase. Given my symptoms, in this
situation even a 1 point rise in the PSA would be explainable (if that
happened they would repeat the PSA after the antibiotics are done).

He does do PVP, but he certainly doesn't rush into things!! It sounds like a
cystoscopy and/or additional medicines (to shrink prostate) would certainly
occur before doing a PVP. (I'm not thrilled as I've finally decided that I
wouldn't mind surgery).

MB