My case is similar to yours. Random PSA test showed 12.6 and 2 weeks later it was 9.3, then a month later 8.5 and finally after 3 months back to 9.6. DRE was normal but BPH symptoms are there. Cystoscopy showed a decent urinary path. Bladder was fine. The urologist said 'we' don't get too excited about 9ish PSA numbers if they aren't progressing. I had to talk him into setting up an MRI and that will be scheduled sometime in a few months. My next appointment isn't until December (6 months). My question is, should I be more aggressive or let it play out?
I'm 84 by the way (and healthy and active otherwise).