Q: I am 65 years old and had my prostate gland and seminal vesicles removed 6 years back. My PSA has gradually risen; it was 0.14 last year and is 0.2 this year. I have relocated. My new urologist suggests radiation. My previous one says that it is not needed unless my PSA rose to 1.0. Where should I proceed?

A:I would not much worry you at this stage and would like to keep you under a close scanner. You could get a PSA done every three months and we should like to observe with what proportion it rises over a period of next 6 months and then resolve whether your disease is showing up again and then radiation could be one of the options. We may also be helped by other tests as Bone scan and CT abdomen to answer the above question.