Hi Todd:
Sorry to here that it has come back, good luck in what ever you decide to do.IT really sucks that we can't get rid of the cancer. I'm intrested in what you decide because I am in the same boat, I can get the psa number go down for a few months before it starts to climbs,change meds climbs again, i am over 4.10 now. it's a roller coster.
good luck.