Hey Steve Where the heck are you, in Hooterville? I don't have a license to practice medicine, but I will say the digital inspection is old school and not much better than wait and see. The real answer if the PSA has elevated is biopsy. I have to say uncomfortable, but necessary. I had many biopsy's over an 8 year period. It saved my life for the last 17 years, so I not throwing this out for the hell of it. There are those that say PSA testing does not signifyingly save lives. I'll argue that because it saved mine. Best Regards. Roy