All of the comments and opinions about
doctors and approaches have been great, as usual , with a full range of opinions. I too was faced with the same choices as you, both as to physicians (I chose Menon over Hopkins which Aetna paid for) and with removal versus WW/AS. I chose removal and thank goodness I did. As my stats indicate, I had two biopsies, the first 12 core showed no cancer but atypia in one core. Biopsy one was reread by Dr. Epstein at Hopkins and was confirmed to be accurate.
Biopsy two done at Hopkins and read by Epstein showed 2 of 13 cores with "focal" (< 5%) Gleason 6 (3+3). Dr. Carter explained it was completely curable and I knew I was in relatively good shape. I took my time, spent 3 months researching, two months waiting for the surgery, and got my pathology. Gleason 7 (3+4) with positive focal extracapsular extension (posteriolateral mid). The chances of this outcome, according to what I have read, was about 9%. I am very thankful the cancer is out of me and so are my doctors.
I tell you this because in the process of making your decision, you need to understand there are uncertainties even with great biospy results like yours. Whenever I have a client who wants to go to court instead of settling a case, I, like the judges who do the pretrial mediations, always ask the client the same question" "If you elect to go to trial and lose and gave up an opportunity to get decent money on your claim, will you be able to live with yourself? If the answer is 'no' then you must settle. If the answer is 'yes,' then you can go to trial with a clear conscience and hope." Most elect settlement.
I think you must ask yourself the same question as it relates to your decision about surgery versus WW. Indeed, there are serious, sometimes life changing, side effects to the surgery. Indeed, your slow doubling time is encouraging but doubling time ratios can inexplicably change over a period of months from slow to rapid. If I had to bet, my money's on the surgery. And if I'm right, then the only issue now is pickiing the most experienced doctor you can afford. Yes, you must like your doctor as a person, but you must also love your doctor for his/her skill. Compassion and bedside manner is great. Cancer control is even better than great. Let us know what you decide to do.