Continue AS or Treatment?

I was diagnosed 4 yrs ago with prostate cancer. Biopsy showed one core at 20% with a Gleason 6. PSA was 4.5. Biopsy following year was almost identical. 3rd yr biopsy showed same core at 20% and one additional core on other side at 5%. Both still Gleason 6. Last biopsy showed one core at 5% and one core at 10 % both Gleason 6 but PSA has risen to 8.2. Due to rise in PSA urologist is now suggesting I start looking at what type of treatment I want.

Question I have is: going into treatment on PSA rise only while still at Gleason 6? This doesn’t sound like progression to me. Anyone have any input?

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