@charlesprestridge I’m 63 and live in Portland Oregon. My challenge will be trying to get a transperineal biopsy within a reasonable amount of time. But I may just do the targeted trans rectal MRI fusion and go from there. This will be my first biopsy after 8 PSA tests and 3 MRI’s. I’m trying to not assume the worst but it’s definitely a challenge. Appreciate your response.