I've gotten high PSA numbers for 25 years, and I've had my ass violated every damn year.
I've had biopsies done 3 times (the story about the latest one is here:
https://forums.pelicanparts.com/off-topic-discussions/1076578-its-been-rough-couple-months-long-post.html )
I'm sick of it.
I'm taking Finasteride now, so I don't have any symptoms. I'm going to die of something sometime in the next few years, it may as well be this.