@kpg7121 Good to have the biopsy. Your BPH may be responsible for the slight increase in your PSA. A guided biopsy will give your urologist and you lots of useful information. There's also several good on-line explanations of the fusion biopsy process. From this forum, you'll read that some of us have the biopsy with local anesthetic (usually lidocaine) and some have a general anesthetic. Good discussion to have with your urologist. I've had local anesthesia for both of my biopsies and definitely prefer that to general anesthesia. At age 79, the fewer times I have anesthesia, the better. Drove myself home both times. Minimal discomfort afterwards. Waiting for the results causes anxiety--it takes them about 2 weeks here. Good luck on March 9.