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Keep in mind that your current PSA is actually double the lab reading do to the Proscar. I believe you would be better served by getting a 3T MP MRI. It should find any significant tumors that might be missed by a TRUS guided biopsy. If this MRI discovers a tumor you can have a fusion biopsy that will probably get a better sample of the tumor. If the MRI is negative, you can safely continue your Active Surveillance program with periodic repeat MRI's.
