Please select one of the following: A trans rectal ultrasound guided biopsy is performed to confirm the diagnosisWatchful waiting is recommended for those with a PSA less than 10 and Gleason Score less than or equal to 6 and T1-T2a Radical prostatectomy is offered as first line treatment to patients with immediate or high risk localised prostate cancer Is the commonest cause of cancer related death for men in the United KingdomBilateral orchidectomy should be offered to patients with metastatic prostate cancer as an alternative to life long LHRH analogue therapy