I have just briefly read through your previous posts under a different thread - they should all be consolidated into one heading for continuity and for ease of following your progress.
Am I to understand that your old man has a father and two brothers with PCa, has a rising PSA level, and yet he has yet to have a template biopsy (TRUS biopsies are rubbish unless you have a clearly defined tumour like I had)?
If so, I would be beating a path to my urologist’s door and requesting one, sharpish! Preferably next week!
Best of luck however it turns out.