I think it is good that you are seeing a urologist soon. One suggestion would be to request the urologist to use one of the newer blood or urine screening tests which can give a good indication of whether prostate cancer is present. A normal or low-risk reading on one of those tests could suggest giving things more time and monitoring the PSA trend; a high-risk reading would suggest further diagnosis such as MRI and biopsy. I had a urine-based test (ExoDX) which led to my diagnosis of prostate cancer even though my physical exam (DRE) was normal, PSA was stable, and MRI showed no lesions. There are other tests besides the ExoDX available - your urologist should know what the best current test is.