thanks Nicky.. The DRE confirmed the enlarged prostate, but was smooth, no
other comment by the GP.
I'm on coumadin, blood thinners for the valve and will check with my Cardo
if an adjustment for the Bio.is required.  He's out of town till next week.
Considering all factors and comments I'm planning to make the trip south
for the biopsy and the ultrasound. The cost is really not a factor and the 2
months is just to long to see a Uro. Thanks again.

I'm not sure if a biopsy will report infection or not. The pathologist
is looking primarily for cancer or a pre-cancerous condition called
high grade PIN (prostatic intraepithelial neoplasia). Your uro could
best answer that question.
Was anything suspicious felt during the DRE?
The MD who said that the biopsy is the only way to determine if cancer
is present is correct. My uro wanted two biopsies, six months apart.
That .01 PSA sounds wrong. The 6.9 might also be wrong. Sometimes the
uro will put a patient on a course of Cipro to knock out an infection
if he believes that may have bumped the PSA, then retest afterwards.
FWIW
YMMV

Thanks Derek and perhaps additional  info would help.

18 months ago my psa was recorded at .01, repeat .01.
Oct 14/05  psa was 7.9. Enlarged prostate for 4 years.

I'm 71 years of age with a St Jude mechanical heart valve, say infection and
it will settle on the valve. Then I have
a major big time problem.

The reading of .01 at the age 69 is really suspicious .This may well have
been a bad test. This would fit a much younger man or someone who had
surgery. My GP has no comment.

My GP does not feel the prostate is infected. A comment from another MD and
my readings say the only real way  of knowing is by a biopsy. Correct?

That's the reason for the hurry.....Postatitis , infection!! and to get on
medication without delay if the prostate shows infection.

trust this helps, further comments would be welcomed.
Thanks

You have not told us your symptoms, your PSA level or your local doctors
opinion. My doctor did PSA tests ten years ago after I went to him with
prostate problems, he then sent me for a biopsy. Over the years I had two
more negative biopsies as my PSA went up. Why the rush? In the world of the
prostate even aggressive cancers grow very slowy.
Derek.

I'm a Canadian and plan to go to North Dakota for a Urologist to do a
ultrasound and a biopsy on the prostate.
I just need the findings, treatment will be done back home. Someone
suggested about $ 2500 US , does this sound in the range ? Thanks ( the
waiting period at home is 2 months, ridiculous )