Radiation Therapy after prostate removal

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Regular Member

Date Joined Apr 2008
Total Posts : 35
   Posted 4/14/2008 6:32 AM (GMT -6)   
What is the accepted psa level where radiation therapy should start after surgery, I have read somewhere it is .4 is this correct.

Ken S
Regular Member

Date Joined Nov 2006
Total Posts : 120
   Posted 4/14/2008 7:55 AM (GMT -6)   

I believe it can be any time after you've healed a little. In my case, with a positive margin, it was not dependent on my PSA level, which was below 0.02. I'm sure different doctors have different opinions about when to start adjuvent therapy.
Age 54 (2006)
PSA - 2005 - 3.2, 2006 - 3.7
Biopsy 8/06, Gleason 6 (3+3), T1c
Radical Retropubic Prostatectomy 11/3/06
Post-Op Biopsy, still Gleason 6 (3+3),
T2c, right apical margin positive
CT Scan 1/07, tumor discovered on right
kidney (unrelated to PCa)
Partial Nephrectomy 3/9/07
IMRT (37 Treatments) started 4/23/07
PSA 11/07 - less then 0.01

flippin out
Regular Member

Date Joined Mar 2006
Total Posts : 137
   Posted 4/14/2008 1:21 PM (GMT -6)   

Just out of Radiation Loma Linda Proton :First post PSA .15 / DOWN I think from .2

   I was told you have the best information they have tells them that .5 and below gives you the best chances of recovery they did make it clear the earlier the better to begin above .5 seems to show a lesser chance by the numbers now of recovery /Best of luck

March Madness 06 PSA 8

April  25 06 DaVinci City of Hope CA

PSA   .0 April 06’ - Nov.07’

Nov.   07 PSA rising trend .1-.2

Dec.    07-Feb 08’ Radiation Loma Linda CA “Proton”  

March 08' ( up Next)

Regular Member

Date Joined Jun 2007
Total Posts : 152
   Posted 4/15/2008 8:16 AM (GMT -6)   
It's not alway's the PSA that's the deciding factor after surgery. In my case it was a positive margin and prior to radiation my PSA was minimal .1
Age 44
PSA 4.8
Gleason 3+3=6
Biopsy - 3 of 12 (2@20% / 1@80%
Da Vinci 7/31/07 @ Duke
2.5 hr. surgery, released from Duke within 14 hrs.
Saved both nerve bundles. 
Foley out 8/10/07
Positive Pathology Report 
Near left side nerve bundle
New Gleason 7
Oncology visit in the near future for radiation
Back to work 3 weeks following surgery - Sales
9/13/07 - 1 Post PSA Undetectable less than 0.1 
9/17/07 - Pad Free! 
10/11/07 - ED, Trimix injection .2cc Tooo much but it worked. Now on .05cc, 3 times a week
No luck with viagra or pump. 
11/19/07 - 5 mth. PSA 0.1 (Ouch)
02/11/08 - Scheduled for CT Scan and MRI
2/27/08 - Started IMRT Radiation treatments
(6 weeks, 5 days a week)  

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 4/15/2008 9:16 AM (GMT -6)   
This is a contraversy. I chose not to wait. But my cancer journey is carved with irony. Sonce my first ever PSA at 19.8, I have never had a climb in PSA. But All of my doctors told me I needed to take immediate action. Radiation was not the only action I took. While I have an advanced case, I have shied away from Chemo, but might have benefitted from it as new studies are showing. I am also into HT a year. For me <0.1 was the right time to hope radiation could still be used. We'll see if I made the right call.  It could take a dozen or so years.


Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007
Post-Op Pathology: Gleason 4+3=7, positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (1/08): <0.1
I will continue HT until May '09. 
Years in Remission (3/23/07): 1
Visit my Journey at:
Prostate Cancer Forum Moderator

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