PSA of 4.9 for 77 year old man

Patient : I'm 77 years old. I just had a PSA of 4.9. My "normal" hovers around 4. There is another PSA scheduled for one month from now. I had some ejaculatory pain which prompted the urologist visit. How concerned should I be? My GP, I suspect, has decided that I've lived long enough, anyway, so no PSA, urinalysis, rectal exam there. The urologist visit was because of the pain, which really diminished somewhat but is still there.
Symptoms:  Burning sensation
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