question: good morning doctor, I am 63 year old man. My problem is I got a chest pain as I urinate. I have a little burn during urination and more severely the chest pain. My urine is charged with E. coli so I am taking Nitrofurantoin for a week. My doctor suspect me with Prostate enlargement. So I am having PSA test with tumor marker as 69.7 ng/ml and tumor gland 27 gm ( via CT scan). DO i Need to go for surgery or chemotherapy. what is the reason behind my chest pain??? Please suggest me.