My PSA hit 4.8 when my PCP referred me to a urologist who performed a biopsy. Cancer in two cores, Gleason 6. Surveillance recommended. A few months later I went for a second opinion and a second biopsy. More cancer was found that was Gleason 7 (3+4). Now a candidate for treatment. Most significant to me (and the urologist) was my very linear PSA velocity from several years of testing (see attached plot). As the second urologist said, 'we can treat now, or wait, but I guarantee you will be back for treatment within a year'. I opted for a robotic radical prostatectomy with him ASAP. No regrets, although ten years later I now have recurrent cancer with PSA of 0.1 and a palpable lesion in the prostatic fossa, and no evidence of metastatic disease on PET or MRI scans. Starting EBRT of prostate bed and pelvic lymphs nodes in mid September.