COA44 - Here to help . you elected to for wait and watch , why ? Im not quite sure why you chose this path , what was your tiggers to do watchful waiting . Usually protocol is , EBRT ( external beam radiation) and maybe combined with ADT . You said your case was very complex , could you explain this further ? I think with the steady rise watching it rise is the last thing you want to do , but rather tackle the rising PSA with som therapy . I hope I can suggest something positive for you , but watchful waiting I dont think will change your situation. What is your RO saying for the best treatment for you? Take care and data positive. James on Vancouver Island .