Thank you Phil,

First, I am learning that these tests including MRI's, PSA's, PIRADS scores, biopsy's, etc.... are all subjective to the professional's opinion and riddled with false-positive results up to 50%-75% in some cases.

I questioned the doctor as to whether the PIRADS-4 could be reduced to a PIRADS-3, the doctor said 'maybe'.... once again subjective and not definitive.

And, a biopsy certainly has its risks including infection and time to heal from the procedure. My 72 year-old buddy blead for two months, and never recovered from erectile disfunction. These are issues that I am trying to avoid.

Info from Internet AI:

"The PSA test for prostate cancer has a high false-positive rate, commonly cited between 15% and 75% depending on the study and threshold used. Real-world data indicates that up to 46.6% to 50% of elevated PSA results are false positives. Only about 1 in 4 abnormal results (25%) indicates actual cancer, often leading to unnecessary, invasive biopsies and patient anxiety."

Sadly, the doctor seems incensed on only getting me to commit to a biopsy, he seems to have no regard nor opinion of the likely traumatic injury to my prostate, the excessive heavy bleeding in my semen, the likely scaring which could be misdiagnosed as a cancerous lesion even that it is benign at this time, the reduced semen volume, the higher PSA levels, etc...

My doctor has failed to answer many off my questions..... thus, I'm seeking other opinions including those from doctors.

Best regards,
Ricardo 😊