My story is similar to yours. My PSA jumped from 3.2 to 5.9 in Oct 2021. Biopsy done in Jan 2022, Gleason score 4+4. Radical prostatectomy performed in March 2022, final pathology report increased my Gleason score to 4+5, considered very aggressive. BCR in Sept 2022 with a PSA of 0.5. PSMA was negative fortunately. ADT and salvage radiation followed. PSA currently undetectable but T score still very low. Once my T score approaches normal, the PSA will become more meaningful.