72 in great physical condition (if it matters) and have had J pouch for 22 yrs w/ minimal problems (occasional pouchitis and maybe even ongoing mild to moderate pouchitis - get scope now each year - generally shows some inflammation) //// well this week had PSA jump to 6.16 from 2.7 in just a little over a year ago (been as high as 4.12 five yrs ago and as low as 1.93 2-3 yrs ago) /// so I am under the impression that that prostate removal is extremely difficult w/ a J pouch due to scar tissue / know I might be getting ahead of things some but would like to know /// would greatly appreciate any comments