My last physical examination revealed a high out of range PSA level of 5.3. Went to an Urologists who repeated the test with a value of 5.2. Also the DRE revealed a hard area in my prostate.He recommended a biopsy. I did some research to find the best doctor in the area, Went for second opinion at the Cleveland Clinic Florida in Weston. Doctor Shrivastava confirmed nodule in prostate. Recommended biopsy. Stayed with the second doctor since I found that the first doctor still does biopsy with an older technique (finger needle).