Hi
Profile:
• Age: 56
• PSA: 10.5-->9.9 in 1 month
• Prostate volume: 33 cc
• isoPSA: 17.7
• MRI: Negative
• DRE: Negative
• Family history: None
• Symptoms: None
Factors lowering risk:
✔ Negative MRI PI-RADS score : 2
✔ Negative DRE
✔ No family history
✔ No symptoms
Factors increasing risk:
⚠ PSA near 10
⚠ PSA density 0.30
⚠ isoPSA 17.7
Am I a candidate for monitored surveillance instead of immediate biopsy?
• What criteria would make surveillance safe?
• What PSA level or change would trigger biopsy?
Given my negative MRI, would a systematic biopsy still likely detect clinically significant cancer?
What are the risks of delaying biopsy in my case?
What are the complication risks of biopsy for me?
What’s my risk of undiagnosed prostate cancer?

I am new to this all these, please guide me through the prudent steps for the future course of action and Suggestions. Thank All in advance.