I m confused....54 year old male. Routine PSA test in 2015 was 2.94 Routine PSA several months ago was 13.7 Month later had 12.6 PSA and 7% free PSA Two digital exams both came back nodular 12 core biopsy with results yesterday....all came back clear = NO CANCER Between the high PSA, velocity, low free percent, two digital exams and low free PSA....can this biopsy be correct? Doctor is having me take Flowmax for 6 weeks because I have what he considers significant retention ie: 220ml.... Is urinary retention enough to cause the high PSA or is it more likely there is a transition zone cancer that wasn t part of the peripheral zone biopsy? I love the no cancer diagnosis, but it doesn t explain all the other stuff that would indicate an aggressive prostate cancer. Appreciate your thoughts on my doc s next steps. 6 weeks of flowmax, PSA and then do a flow test in an office visit at the end of the 6 weeks.