You need expert and experienced diagnosis and treatment and monitoring. I would suggest getting an appointment with Dr. Eugene Kwon at Mayo Rochester. He and his team specialize in treating men with prostate cancer, and they are especially experienced if and when you develop advanced disease. They have kept my husband alive since he became Stage 4 with a recurrence in 2011. You are not yet even close to that stage, but it would benefit you to became a patient of the Kwon team now so that you can work with them as needed from here on out. Good luck to you.