I was diagnosed with PC last August, shortly after turning 51. My PSA was at 6.8, MRI, followed by MRI guided Transrectal biopsy found 2 sections with cancer, both Gleason 3+3. The doctor who performed the biopsy suggested active surveillance, but didn't adequately answer some questions i had, so i sought a second opinion. I went to the Mayo, where all of my results were reviewed and "mostly" agreed upon. There were a couple of things about the MRI results that the Mayo had concerns with. In March, 2024, i had an MRI at the Mayo, followed by an MRI guided transperineal biopsy. The results: The mayo confirmed the 2 sections with Gleason 3+3, but found 2 more sections where they were 3+4, one of which 'may' have (or is trying to) extend outside of the capsule... So it's no longer active surveillance for me. Due to my age, radiation isn't an option, as it could cause problems later in life, so i will be undergoing Robotic assisted radical prostatectomy next week. One day before my 52nd birthday (yep, that'll be a birthday to remember). Had i opted not to get a second opinion, and stayed with active surveillance, who knows where I'd be in a year or two. Hopefully it'll be determined that everything was contained within the prostate, and i can close this chapter in my journey through life. I'll update with my results in the future.