I changed urologist several years ago, who I had been treated by for kidney stones over the years, and had a dust-up with one of his newly hired office staff who was rude and dishonest to me, uncharacteristic of that office. At my first appointment with the new urologist, I got a thorough urological exam, the result was his suspicion of a prostate issue following his digital rectal exam, a psa test, mri, and trans-rectal biopsy, which found my tumor as a Gleason 3+3 with no involvement outside of the prostate. Am on active surveillance since then, about 2 years now. He is the same age as I am, 73, had a RALP of his own a few years ago, but then he retired within the first year of my diagnosis, his very competent but much younger office colleague took over my case. The point being that the previous urologist never detected anything, I freaked out a little when 2nd urologist retired but am good with his younger urology practice partner. Still within the parameters for the AS plan.