1.Elevated PSA only indicates the possibility of prostate cancer, but cannot diagnose prostate cancer. 2. Whether the PSA is elevated, or the abnormality is found by anal examination, ultrasound or MRI, prostate puncture biopsy should be done. 3. Prostate puncture biopsy is the gold standard for the diagnosis of prostate cancer. I hope you can face the disease correctly and get diagnosed and treated as early as possible!