A cautionary note. Harvard Medical School published this note. "Although PSA testing can help catch prostate cancer at an early stage, having an elevated PSA (generally considered more than 4 ng/ml) doesn’t necessarily mean that a man has cancer. Noncancerous conditions, including benign prostatic hyperplasia (BPH), or an enlarged prostate, and prostatitis, can raise PSA levels. In fact, studies have shown that about 70% to 80% of men with an elevated PSA who have a biopsy do not have cancer. "
As a former contributor to an ABC health report program I was impressed by several emminent urologists who made the point that many men with indications of BHP who might well manage their condition are panicked into surgery which results in incontinence, impotence and depression. I have many friends who have gone down that path with awful results. Long periods of insertion of painful catheters and other painful and unhappy consequences.
Living in Townsville a local DJ was a great enthusiast for having an annual biopsy test. And the following week went for his test, returned home, haemmorraged and nearly bled to death. Biopsies are invasive tests and like all tests involve risk. Unless there is a specific medical reason to insist on such a test, personally I would leave that alone.
Making decisions about health involve individual, important choices and doubtless there are life saving surgeries given prostate cancer but by no means are all these surgeries successful without then follow up of rather unpleasant chemotherapy.
If a condition requires getting up many times at night to urinate there is a medication available in Indonesia called Tamsulosin that will help manage that.
So, I am not saying you should not get check ups but at least be aware that the financial rewards for doctors can easily lead to a rationalization that surgery is the best solution if there is any doubt after testing.
If you have read this far then you may find this article food for thought.
https://www.washingtonpost.com/national/health-science/when-his-psa-score-spiked-prostate-surgery-loomed-but-nih-offered-another-way/2013/02/25/077f66c0-42f9-11e2-8e70-e1993528222d_story.html