Only if your Active Surveillance is happening at a Center of Excellence then it is worth it. My husband’s urologist totally messed up his Active Surveillance. It in fact was In active surveillance. He didn’t even do a repeat biopsy according to NCCN guidelines. He did his second biopsy 4 years after the first one. By that time his Gleason score became 9 (high risk) from Gleason 6 (the first biopsy). He made many more mistakes and I hold him responsible for my husband’s Gleason 9.
Anyway, the other important thing to do is to educate yourself a lot so that you know what your urologist doesn’t know or is not paying attention to.