My recommendation is to seek second and third opinions. Every case of prostrate cancer is different and so are the types, grades and whether low risk, intermediate or high. The biopsies I had where done under anesthesia and transperinal with NO issues from the procedure. It was done at Mayo Clinic Jacksonville.

Having MRIs, CTs can show problem areas but only biopsies can diagnose whether cancer or not and level of cancer. I had intermediate risk 3+4 (7) after biopsies that was downgraded to low risk after Decipher test. If you are not aware PSA levels above 4 are abnormal. The prostrate and prostrate cancer are the only organs/tissues that make PSA so a raised level should be addressed. You have already got results that it is cancer.

If you read others opinions they will mostly all recommend second and third opinions. If the opinions are the same at several providers then it will make you feel more comfortable. Just try to make it to really specialized providers for those opinions.

Watchful waiting is an option with low grade and low risk but is a matter of the oncologist/radiologist to determine and recommend to you. I got two consultations and opted for proton radiation treatment. Some minor side affects but finished back in July and now waiting for first PSA follow up tests.