For peace of mind have the Biopsy. That is the ONLY definite way to find out if it is Cancer- or not. I can tell you- the worry at the back of the mind as to whether it is or not will get through to you. There is some pain with the Biopsy but NOT severe. I even had mine without any Anaesthetic but that was my choice.

And If it is Cancer- the quicker you act- the better the end result.

And I had a Radical Prostatectomy in 2001. PSA of 16- all 6 Samples were cancerous and I was Lucky in that there was not a longer delay in getting treatment. And a workmate of mine has a PSA of 27- has a biopsy every 6 months and No PCa.