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Your RO may wish to eliminate prostatitis as a first step. If an infection does not exist the next best step in my layman's opinion would be to determine if and where the recurrence exists. I chose the PET-scan, and I am glad I did. The size and location of the "recurrence" helped determine my choice of treatments.
I fully documented my experience in an online journal which contains information you may find helpful in deciding what to do... and equally important what not to do; see: http://protondon.blogspot.com/
If you decide to take a look I suggest you begin with the entry titled "To My Family, Friends and Cyberspace Buddies." I will be available here to answer any questions that may occur to you.
Best wishes Don O.