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I got my implant in 2013 and it has been great. This summer my PSA level went from 1.6 a year ago to 3.7. Dr. karpman doubts it is cancer for a couple of reasons:
1. There is some kind of algorithm related to PSA levels by age and the probability of cancer and my levels have been low.
2. The rate of increase is more than is typical with cancer.
I have a follow-up PSA in a couple of weeks and just trying to think ahead. Any comments of surgery after an implant and/or about best cancer surgeons will be very much appreciated. I am willing to travel for the best.

Not remembering the exact numbers, my psa went from "nowhere" to "very high" between my regular "annual physical" (about 15 months)....had RP, result being removal of an aggressive cancer on the "rind" of the prostate. 6 years later, all is well.....particularly thanks to Coloplast and Dr Perito....

Good luck!!!

Similar situation. I had my titan installed about 2 years ago. Very happy with it.
6 months ago my PSA had risen from 1.2 to 4. I had it rechecked and it was 2.
2 months ago it was 6.5. I had a biopsy and it came back with cancer in 4 of the 12 segments.
3+3 in two segments and 3+4 in the other two. Gleason score of 7. Tumor stage at least T1c nxmx.
I had laparascopic prostate removal 6 days ago and will have my catheter removed tomorrow.
The doctor also removed my lymph nodes on the left side but not on the right side as that would have damaged my titan.
No report yet on the extent of the cancer but I am optimistic.

P.S. I am 72 years old.
My doctor for both the implant and prostatectomy was Jonas Benson at uropartners in Wheaton il

Do nothing except change you diet to the Mediterranean, cut out the stress in your life use the recommended supplements, exercise and your PSA and Gleason score will go away if not disappear. Don't let anyone cut or radiate you.

Boulder,. Please explain your reasoning for this approach.
I got my pathology report yesterday. My prostate was removed and the cancer had not yet spread.
With your approach I fear a far worse outcome.

Thanks guys. Hopefully I have dodged cancer for a while longer. However, if I have a biopsy and it is positive for cancer, I will have surgery. Watching cancer grow is not my idea of great entertainment.