As others have mentioned, for now you're simply gathering information. My PSA was rising, not so far or fast as yours, but an MRI and digital exam didn't reveal anything. A biopsy confirmed cancer and then a PSMA PET scan gave the specifics. For treatment, I highly recommend a genitourinary oncologist rather than a generalist. I went to a group of generalists, and while they have taken action that has stopped the cancer, my quality of life has been affected significantly. Remember that it's your life, not theirs, so if cancer is diagnosed weigh your options for longevity vs. quality of life and talk sincerely about side effects of treatments. All the best for your journey!