Muggier I went with surgery after a 5.3 psa up in 1 year from 3.3. Was 3+3 before surgery but after surgery was 3+4 upon prostate dissecting in lab. Dicifer score as 93% . I do have ed and very minor incontinace @ 2 teaspoons a day. Ed getting implant in 2 weeks. I have no regrets I just wanted cancer out of my body presently cancer free undetected psa, it has been just over 3 years.