They have not yet decided where the cancer has spread but based on the following, he is quite sure it has and it is only a matter of time before it will present itself:
PSA rise from 2.3 to 20 in 1 1/2 years
During surgery it was determined that it had invaded the seminal vessel and had ruptured the prostate capsule.
Though the lymph notes in the pelvis that were biopsied were negative, the surgeon was only able to test a limited #. He couldn't remember why he didn't test more.
1st post-op PSA he was back up to 2.3. The Dr. told us that .5 is high post-op.
All of the foregoing factors indicated that the cancer was beyond the prostate bed and decided that radiation was not the best choice as he felt quite confident that it had already spread somewhere.
I know the radiologist personally that did the biopsy and he called me one day to see how he was doing. He confirmed to me that he felt quite confident if he was to go through a cat scan, MRI, etc now that you would probably detect lymph node involvement.
Our Doc wanted to treat with hormones immediately before he gave it any longer to grow. My hubby liked that option.
So here we are! I have done a ton of research and reading and like the way the urologist is handling it.
Another doc specialist of mine told me that he sees men in his specialty (cardiology) all the time that have been on hormone treatment for many years doing quite well. This gave me the sense of hope I needed.
Good luck on your journey. Fortunately my hubby has not felt too bad with the side effects. He is more tired than usual and has had the odd hot flash. He has lost his libido and spontaneous erections are not possible. He has successfully used the tri-mix injections when we want. He admits he does not have the sexual desire the same, but he does have the desire for the intimacy of the encounter.
This last injection he has felt worse in the first three days then he did last time. I have read that it isn't until the 2nd injection that you start really experiiencing the side effects. Guess we'll wait and see. Something this silly cancer has taught me that we have no other choice but that. The future holds no guarantees. But that is true if you suffer from pca or not. Love and laughter is our choice :)
Husband Diagnosed: September 2007
His Age: 61
Radical Prostatectomy: Oct 25, 2007
Gleason Score on pathology: 4 + 3 = 7
4 mo post op - Feb 13/08 PSA: 2.3
Started hormone therapy: March 2008 - Zoladex (minimal side effects to date)
PSA: May 2008 0.00 Yippee!
May 2008 - 2nd hormone injection - Zoladex - still minimal side effects.