@rcas75
You mentioned having prostate cancer. You mentioned having two MRIs. How was it determined you have prostate cancer without having a biopsy done?

A MRI is used to scan prostate and look for susupicious areas and tumors. MRIs are usually done after suspcious PSA test indicate a problem. Did you have ongoing PSA tests?

The results from a MRI are usually used to consider biopsies or not. The biopsies determine if you have cancer or not and your Gleason Score of the cancer.

Once you have your Gleason score the options for the need for treatments come up. There are many other test you will see posters and R/Os suggeting to be done once you have a Gleason Score. They are PSMA, bone scans, Decipher, etc. They give additional diagnosis of the cancer risk, and if confined to prostate, etc.

What are your MRIs saying? If just BPH then treat BPH. You did not mentioned your PSA scores. Are they high, continuing to rise? If I were you I would be getting a lot more answers from those treating you before considering biopsies. Getting second opinions are suggested by most MCC posters and since you have questions of what to do is get a second opinion from a major medical institutions with experince in prognosis of prostate cancer and the newest treatment for them.

Hopefully all you have is BPH

No symptoms is not a reason to not get a biopsy. I had zero symptoms but a rising PSA. MRI showed a single lesion and Pi-rad’s 4. Biopsy was Gleason 7 (4+3). You need to take the next steps. I did Tulsa Pro in July

Might want to check it out further.
Understand there are less intrusive tests than biopsy to do that, eg urine.
Check things out on Uro Today site
My guess us biopsy maybe the Gold Standard, especially now with Decipher that can use the tissue to really dive into it.
I had my biopsy in '18.
It was merely a bit uncomfortable.
Good luck!!