Finally screwed up courage to come and ask a question. my back ground is I had a PSA last year of 6.5, refereed to hospital had a biopsy which was Gleason 6. Then had a MSI, another PSA 8.7 and a template biopsy which was Gleason 7 (3+4). Put on active surveillance which I was expecting to be on for some time, but when I had my first PSA test after 3 months it had gone up to 15.7. My consultant said this was wrong so sent me for another PSA. Got a letter from consultant repeat PSA has gone down to 12 but is still elevated and will need another biopsy. My question is, is this usual if your on active surveillance ? if not should I be concerned.