I have studied this quite a bit and chose to add adjuvant radiation and hormone therapy. I had positive margins and bilateral seminal vesicle invasion. For me after my da Vinci it was a mess down there. I found solid studies that show about
an 11% improvement in preventing a biochemical relapse. We were able to get to undetectable and hold it now for 18 months. I have my every 4 month tests this Wednesday followed by a Lupron shot. You have remember to do something at all times. Stay Positive! My experience with this, and my membership is several advocacy groups, and well as forums like this one (actually this one is very elite with the very best members), has shown me that Stage III patients can do quite well for a long time. I know quite a few guys who are 14 years post surgery and still undetectable! I have seen guys relapse but keep it controlled for a long time.
If you can, post more information ~ Age, Gleason, Pre-Operative PSA. Look at my numbers below. Me and my Ruthie are still having fun, and enjoying the good things.
Age 46 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, positive margins, Extra Prostatic Extension (EPE)
Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (May 9 '08): <0.1 ~ Undetectable!
You can visit my Journey at:
Tony's Prostate Cancer InfoLink Page