Yes make sure they use contrast. I was completely asleep for the biopsy. My Gleason score was 6 seven years ago I decided to go on active surveillance until recently 2024. My PSA went up to 6.5 after seven years of being diagnosed and my doctor told that I need to go for an MRI with contrast and it show that the tumor had grown two weeks later I went for a biopsy and came back that the Gleason score rose to 4+3 =7.. my oncologist told me that my best option for robotic surgery which I did.. So far so good I have no urine leakage at all but some Ed problems..