Your numbers sound a lot like mine. I'm 79, had MRT guided biopsy in early 2025; scheduled for another in February 2026 after another MRI with contrast. 2 samples, 3+3 and 3+4, all others negative. PSA was 7.97 prior to MRI and biopsy but 4.46 in April 2025. Go figure. I've been on active surveillance this year. I had a transperineal biopsy and will stick with it (no pun intended) for the 2nd one. From what I've read, there are several advantages to the transperineal approach. Good luck!