Portsmouth, NH - no way! Dare I mention the cliché about how small of a world this is!
Here's our plan of attack - Diagnostics at Mass General in Boston. Dana Farber Institute is good too, but we already have a history with Mass General. Then when the time comes I feel strongly about going to the best possible surgeon. From everything I've read, top hospital in the nation is John Hopkins in Baltimore, MD. They are the guys that developed the "Partin Tables". It's about an 8 hour ride from where you are, and they seem really set up for clients from "away".
Check this out: http://urology.jhu.edu/prostate/faculty1.php
So what if we end up spending say 5,000 more for travel and lodging compared to staying local? That's what home equity loans are for!
If surgery is an option, I too have come to the conclusion that robotic is the best way to go.