I'm also Gleason 9, age 67, had surgery in November. I had several indications that recurrence is in my future. Present in cribriform glands, bladder neck, Lymphatic or Vascular Invasion, perineural, multifocal and presence at the margins. My 8-month PSA was 0.02. So far my urologist is taking a wait and watch approach. Next scheduled appointment is my next PSA is Oct. 1. It's difficult to be patient because everything I see online says all of those conditions are bad. I'm probably going to have a consultation with someone else just to make sure my course of treatment makes sense.