Hi Tom_47, and welcome, having a PSA of 19.2, is often an indicator there is something wrong with your prostate, PSA is a protein produced in the prostate, both healthy or otherwise, so yours will need to be tested, your score though elevated, is still relatively low, low enough to be caused by many things, BPH and prostatitis are fairly common as we get older, recent exercise or intercourse or if you are taking testosterone medication, and cancer, I hope your doctors will be looking into the cause and wish you well with he results.
