First, welcome here.
Second, get the biopsy. With your family history, I feel strongly that you need to have it.
The chance of the sepsis is possible, but very, very rare. There is no documented evidence that PC has spready by having a prostate biopsy performed.
And yes, if the biopsy comes back negative, it will give you some breathing room. It took 3 of them over 18 month period to finally find the PC in me, but I was dealing with a much higher and faster accelerating PSA then you have.
It's hard right now for your mind not to be overwhelmed with fear, worries, concerns along with all the facts and figures you are learning along the way. I think all of us here can relate to that one.
We are here for you. No dumb questions here, and we have folks experienced in probably almost every stage and aspect of PC and PC treatments.
Please post often, and if you just need to vent, then you are welcomed to do that too. This is a good place to be, but I am hoping that you won't have a need to be here, the membership dues are too high in my opinion, you actually need that PC dx.
Good luck, and take a moment to breathe.
David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence: 1 Month ED: Non issue at any point post surgery, no problem post SRT
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, next one: July
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped 9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4, Caths #11 and #12 same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, 3/6 Cath #13 out - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 4/23 put in