Ask lots of questions . Never take no for an answer .

I have taken to heart the advice of all the experienced members on this site yet I do not understand the resistance of the Urologist. Why put me on 6 more months of active waiting when from everything Ive read seems to be a very bad idea. I have both PIRADS 4 and A.S.A.P lacking basal cell markers. I also have a PIRADS 3 lesion. PC can be treated if I catch it early. If I am wrong in waiting I run the very real chance that a clinically significant cancer will take advantage of the waiting period to metastasize and limit my treatment options. I'm hoping they will grant my request for a PSE test and a trans perennial biopsy. We have to know what these atypical cells actually are especially since they lack basal cell markers. I fear these cells are in fact under sampled cancer cells. Leaving them in unknown territory could very well cost me my life.