Hello,
PSA level is slightly higher in older men than younger. You have not specified your age. Your PSA level is under normal limits presently & your
prostate examination also shows normal size of prostate & no issues. Since your PSA level rose in 16 months, get clinically examined by a local GP to rule out
prostatitis, infected or inflamed prostate.
Benign
prostatic hyperplasia or BPH also causes increase in PSA level. Backache, ED and pain in the buttocks can be indicative of prostate can that has infiltered to the bones (secondary manifestation). However, lower
back pain can be due to other factors like injury, strained muscles, sedentary lifestyle- sitting or standing for long periods.
Avoid sedentary lifestyle. Do regular walking & exercises. Get clinically evaluated and treated at the earliest. For relief, you can take
acetaminophen, once daily for 3-5 days. Warm compression, massage and pain-relieving sprays on the affected area are helpful.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Nupur K, General & Family Physician