I am a 60-year old male with a family history of prostate cancer. My PSA has been in the low 2's for years, once spiked a few years ago to 3.5, then came back down (possible infection?). Last year PSA was 2.44, a few days ago was at 5.55. Going to see urologist next week.
My question: I have had a spermatocele for several years that has gotten larger, now about 1 1/2 times the size of my testicles. Sometimes a bit painful, but not too bad. Could the enlarged/enlarging spermatocele be causing my increased PSA? Before I have a biopsy done, should I have the spermatocele removed and see if my PSA goes down? Thanks.