Let's play that tune. Let’s say your PSA test comes back elevated out of the normal range and the digital exam shows your prostate enlarged. You now have the info from the tests you wanted. Tests you can get regardless of the recommendations in the study you referenced. OK. What is it you think you now know? What is your next move?
There are a lot of variables that you haven't included in my decision-making process. The PSA is only one of the factors in the decision to be made. Other factors? My age. The rate of increase in the PSA from year-to-year. Results of digital examination. Family history. Any changes or possibilities of various types of biopsies. Ultrasound? results. My general health at the time. Family responsibilities and current marital status. Alternative holistic medical options. Current research and trial procedures, Etc., etc.
Since my digital exam and my PSA test are indicative of absolutely no problem at this time, I have not pursued any of the above. But, the above, at a minimum is what I would consider.