I had two MRI's last year and 6 PSA tests all fluctuating between 8 and 4. I had to convince my doctor to order the MRI's which showed no focal lesions, Pirads 3 and 2 respectively, characteristics of Prostatitis and an enlarged prostate but my Doctor still wanted to proceed with a standard 12 core transrectal biopsy essentially "blind" and seemed uninterested when I suggested the idea of more surveillance or another biomarker test like the PSE. My doctor is probably technically great at what he does but the lack of interest in further diagnostic testing was frustrating.