Hello welcome to the club no man wants to join. I was diagnosed with Prostate cancer Sept 2018 (Gleason 3+4) and had HIFU treatment Dec 2018. Doing very well, absolutely no side effects which is the reason I chose that treatment. If all you have is Gleason 6 (3+3) you should be a good candidate for Active Surveillance. Your rise in PSA could be coming from the Prostatitis. Treatments for prostate cancer cancer are changing rapidly to types that do not effect your sex life or incontinence that is so common with surgery or radiation. If I had my treatment to do over I would now choose a new form of HIFU called TULSA-PRO That other test you mentioned, was it Prolaris, Decipher, or Oncotype? If so it should help in your decision on what to do. I would also recommend you get a prostate mp-MPI as it is becoming the gold standard in diagnosing cancer. Good luck to you Bill