So, when you get prostate pain and are not sure if it is prostatitis or what, and the doc has had his finger up your rear end and says “yep it’s swollen all right” and they give you a round of antibiotics and the thing’s still the size of a honeydue in 6 weeks and it feels like that too, what’s the next step? Biopsy?
The recommendation is for routine screening, i.e. a guy with no symptoms walking down the street.
The recommendation is not for workup of symptoms or swelling.