my advice would be to start now seeking out a Center of Excellence for a future consult. They tend to have the latest technology, research, training and outstanding doctors. Since most of these centers offer just about every type of treatment, should you need one, they will recommend that treatment which is best for your situation. Many smaller practices may only offer one type of treatment and will therefore recommend it. While it might work, it may not work as well as some other type. I am a Gleason 6 on Active Surveillance and my original urologist (who only removes prostates) did recommend I go on Active Surveillance. But after reading all of the comments on this forum I realized that some day I may need treatment and wanted to already be at one of these centers of excellence should that time come. I am now at the Mayo Clinic. They are extremely organized. Various teams contact me for appointments, MRI's, biopsy, etc. PSA blood test results come back within 2 hours of the draw. You can always stay with your own doctor, but prostate cancer is not particularly cut and dried so having several doctors review your case is probably worth the time and effort. As others have mentioned, in today's world you do need to be your own advocate and do research. I will say a prayer all goes well for you and that your case may be nothing more than prostatitis which at one point made my PSA jump from 2 to 8. After a round of antibiotics, it returned to the 2.