I know this thread is old but I thought I would add my two cents.
back around this time as I was interviewing surgeons, my yearly psa test jumped to 10.4.
every colorectal surgeon warned me to deal with prostate first if needed since radiation would be a big no no for the future jpouch and they stated it could be ruined permanently.
I had I a biopsy and no cancer was found so I have dodged that bullet for now.
but I do think what if? In the future.