Hi , I did not have symptoms similar to what you are describing, but a routine blood test for a physical showed a PSA of 7.1. A biopsy revealed my cancer. A year later, in April of 2018, I had surgery to have my prostate removed. As far as I know, neither my father or my grandfathers was ever diagnosed with prostate cancer. I doubt that any of them ever had a PSA test, which I don't think was routine during physicals in their lifetimes. All of them died from complications related to coronary artery disease. I do know that the literature now encourages younger men whose fathers had prostate cancer to start screening for it early. Will Jones Prostate Cancer.net Moderator