@dinu Check with your VA insurance and see if they cover second-opinions appointment. We got 3 extra second opinions appointments after my husband's prostatectomy because of the seminal vesicle's involvement. Our insurance covered all the fees. One of them was through their telehealth program, which the chief urologist at University Hospital Ulm reviewed the medical paperwork, including surgery notes and pathology report. We saw another chief urologist and the radiation oncologist in person. All four opinions were similar: wait & see with 3-month PSA test. After 2.5 years, the urologists wanted to do 6-month PSA test, which we firmly said no. They agreed and let my husband continue doing 3-month PSA test.