Your most current .44 ng/ml PSA is approximately "300%" higher than previous PSA's. Granted, it is not even at "1.0 ng/ml", but I wonder why these urologists "wait"? Maybe at that level, a PET Scan won't show enough focal presence of where the cancer is growing.
As a separate thought, I am really pissed off that my urologist, and likely many of everyone else's, say: "Radical Prostatectomy is 100% curative for prostate cancer", when they know FOR A FACT that it isn't. If it was, then this blog would not exist. Excluding those writing here that they are just starting the process, we all have "post-RP sequelae." The unlucky 10-20% like me end up with "surgical margins" which means my urologist left cancerous tissue in my body, and chose to close me up instead of having a pathologist standing-by ready in the lab to do a frozen section of my prostate to tell my urologist to "keep cutting" while I was still under anesthesia on the table. A lot, like me, end up with Cribriform glands...a rather more ominous sign of patterned tissue pathology that does not bode well for our future. It goes on and on. If any of you reading this happen to be urologists, please STOP telling us that RP is 100% curative, or...add the caveat: "...if everything goes well."