A PSMA pet test really is the next step. If a pet test comes up clean, then you can have a choice of surgery or radiation or even one of the other techniques available today. If the pet test shows that the cancer has already spread, Then different choices will be made.

With the biopsy showing 3+4 it is surprising that your PSA is so low. You might have your biopsy slides reviewed by somebody else to see if they come up with a different answer.