So good to read what you have to say, heavyphil. Jim is 71, good weight and healthy. Neither the urologist nor Jim's primary doctor have any concern about him having the surgery. We hope the symptoms aren't too difficult to live with, and that there's good improvement over time with them. And hoping, of course, that they get all the cancer. (That is if he definitely decides surgery is his option--which I hope he does.) Sorry to hear about your rising PSA 4-1/2 years down the road. As I'm typing this, you've maybe had your appointment at Sloan. Sloan has a great reputation. (We're at Mayo Rochester.) Sure hope you get the information you'll need to move forward successfully. I love what you said in your last paragraph! Best of luck to you, too!