My father-in-law had a recent ultrasound of prostate and psa test. his ultrasound showed enlarged prostate 104grams and psa 6.7. is biopsy needed?

If first PSA-yes. : If there have been prior psas, biopsy determination will be made depending upon extent of increase. If first psa, biopsy is indicated. Biopsy is usually performed when psa is 4 or greater, or when serial increase is considered significant.

No: Short ans is no.Your fa-in-law's PSA density is 0.064(6.7 divided by 104)..We do biopsies if 0.15 or more assuming there are no suspicious nodules seen on u.sund or felt by digital exam. I am assuming that the 104 "grams" you refer to is "ccs" which is the volume on the sonogram.A 104 size prostate usually gives symptoms but I am sure this is addressed by his urologist.Hope this answ yr question