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Robert:
It may take awhile to determine whether or not you are experiencing a recurrence As you undoubtedly know close monitoring of your PSA is vitally important. Worrisome indicators are steep inclines and/or a rapid doubling time. If and when you are diagnosed with a recurrence, your treatment choice may be as difficult (and as important as) your initial treatment decision. What you decide should be determined by the location and nature of the recurrence. Possibilities include a highly localized tumor (e. g., limited to the prostate bed), multiple focal points or systemic PCa.
Chances are your doctor is correct and you have nothing to worry about. Even so, it may not be too soon to begin a research effort. I documented my agonizing struggle with a rising PSA in an on-line journal. You may find some of the information contained therein helpful; see http://protondon.blogspot.com/ For your purposes a good starting point would be my entry titled "To My Family, Friends and Cyberspace Buddies." If you decide to take a look, I will be available to answer any questions that may occur to you.
