Tiberiu, while your psa is not extreme, your PIRADS CODE = 3 is a bit of a worry.
Some research results here:
So far, your DRE and MRI results are inconclusive so you certainly need to know more to decide what to do next.
MRI scans are limited in what they can detect, though a PSMA PET scan, using radioactive dye, will give you much more information than a "standard" MRI scan.
I can understand why you aren't keen on the idea of a biopsy but because they actually take cells from your prostate they can be analyzed and will give a detailed idea of whether you have cancerous cells present.
There are different types of biopsy as Barry says, so you could ask your urologist if you have a choice.
What you do next depends very much on putting together a more detailed picture of the state of your prostate.
Like you, I had no symptoms or pain but a biopsy indicated my Gleason score was 9 so I was very glad to have taken action when I did. Another year and I could have been in serious trouble.
Edited by member 18 Nov 2021 at 04:30
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