Other very experienced members here will soon explain all of that in detail, but in the meantime I just want to say that your 11 PSA does not have to mean that you have cancer.

It is impossible to even know IF you have cancer before first MRI is done, and than after that if anything is suspicious a targeted biopsy. And than after that a PSMA scan to check for possible spread .

Person can have elevated PSA for many other reasons - like enlarged gland, or inflammation etc. I am flabbergasted and shocked that they told you to put your affairs in order before other confirming tests were done ! Even if it all turns to be true, PC patients nowadays have so many advanced treatments that "affairs" will wait for many years, if ever *hugs

Can you go somewhere else for a second opinion ? Do you have close-by Cancer Center of Excellence and go there to seek help ?