Your prostate is pretty large. That results in a higher PSA. I know a guy whose PSA was 50 and had a huge prostate. Had multiple biopsies they never found anything.

As @brianjarvis says, The family history of prostate cancer is your biggest worry. My father died of prostate cancer at 88. My brother and I both got it, I got it at 62. He got it at 77 after years of active surveillance..

The fact that your father had it doubles your chance of getting it. Getting a biopsy is pretty straightforward. The doctor can use the MRI for direction with some of the biopsy cores By targeting the tumor that is PIRADS 2.

I had a couple of Transrectal Biopsies and they were really, no big deal. Of course, today I would want a transperennial biopsy, since it can access more of the prostate and reduce the chance of infection.

I also had a prostatectomy at 62. I got it a lot earlier than my brother because I have BRCA2.

The fact that your father got prostate cancer so young and that you may face it means that There may be a genetic reason for it. You could get genetic testing to find out if it could be a factor. Does anybody else in your family have cancer? You can get it here for free, takes 2 to 3 weeks to get the results and a genetic counselor will call you. They will send you a kit that you return in the mail. You have to live in the USA to get this test for free.

Prostatecancerpromise.org