PI-PADS SCORE 4. Bioposy ordered

You are not likely to have anything really serious, but it's good to keep alert and to keep undergoing the recommended investigative procedures to get as much information as possible. PSA of 4 seems low to me. I have had 3 + 3 for about ten years now and my PSA has usually been around 8. There again I do have other prostate issues including some BPH and frequent UTIs due to urine retention. In fact the cancer has been the least of my worries!

I would not worry too much because most of the experts are saying WAIT AND WATCH is the best thing to do. Your PSA is low and in the normal range and lesion rather small. I had a PSA of 12 and a lesion and I opted for Cyberknife which only 5 radiation treatments. PSA dropped to 2 but I had a major complication about a month ago with urine retention and had part of my prostate removed via laser surgery.

I know it's easy to say, but, don't worry about a thing, cause every little thing, will be alright.

Your young and with a Gleason 3+3, I wouldn't do a thing if I were you. Forget that biopsy. 

Get your PSA checked in another year. Live and be happy for now.

I would opt for the biopsy just to be sure. And if there is the evidence of cancer cells, you will know what kind and how aggressive it is and the Gleason score. You are young and that is on your side. You have many options including the wait and see - or treatment options are many. I had the Brachytherapy which is a one time procedure done as an out patience... it takes about 45 minutes, an hour in recovery and then home. With most any treatment there are side effects, but minimal from the Brachytherapy. It has been 2 years since I had my procedure and my PSA at last check was 0.14. See what the biopsy shows and take it from there. Do research on treatments. You will get lots of information on this website. Many men to discuss their treatments with and how it worked for them.