Nobody mentioned other tests like fPsa (free unbound antigen Psa testing or urine test called PCA-3 or similar alternatives of that now out there)??? Of course not....let's get that biopsy asap (lol). You can do it in office, that hospital necessity is over kill, I had no anesthetic and didn't like it hindsight (ha-ha), but handled the 12/12 biopsy. In my case might have bleed in urine (bathroom gig) just a small amount at the office and after that none...must have coagulated like asap, which exceeded my expectations. Doc didn't even inform me about
anesthetic concept, what an sob he got fired later by me for the Lupron for life concept.
My brother had something felt on DRE, psa was 1.0, he was found with <5% PCa in one core aka 'indolent PCa' he has done no treatments now for almost 10 yrs. and so far so good. His urologist told him to have surgery, he said no way and later on his uro-doc laughed with him about not getting surgery, how interesting.
If you get biopsied, get a copy of the pathology report asap and find out what it really says and means. Then to blow your mind realize this information is the best known assessment of what you are dealing with, however it even has many possible shortcomings or flaws (of which I could point out). Anyway do not let your mind overrun you with fear on this.