I was 68 and had been monitored many years with rising PSA. Over previous 16 years I had 6 biopsies and 4 MRIs. I told my urologist I felt like that guy who speeds all the time but only gets caught years later. He said that because of the aggressive monitoring and testing, that my thoughts were incorrect. He said it absolutely could not have been caught earlier. The strict monitoring wasn’t fun, but the ultimate early detection is why my recovery has been so uneventful. That, plus a team of medical geniuses.