I think the problem here is more with the patient than with the doctor. I was in the medical profession for 25 years and I can tell you that many patients are too quick to listen to what the doctor tells them and do no research or bother to get a second (or more) opinion. There are too many urologist that are quick to start cancer treatments "just in case" and too many patients that are not informed enough to stop them until they know all the facts. I must agree that there are urologist that recommend brachytherapy with a very low Gleason score just to be on the safe side and avoid litigation if they don't suggest it and something happens, but the patient has his responsibility to be informed and make the final decision. Many men have an "out of mind" approach to prostate cancer. If they don't think about it or if they don't know what their PSA and/or PSA Velocity is, they won't get prostate cancer. I think that many of us who have been there and done that have a much different opinion to this pre-screening findings which more often than none leans toward those that do the financing.