It's good to hear your PSA is still "undetectable". As I have posted before, I have also had a few issues with the reporting of my PSA results, but not near the level of issues you have had. Regarding the "window" of adjuvant/salvage therapy, I also see no logic to tying the window to the date of surgery. It's not as if the cancer cells were "spilled" into the prostate bed at the time of surgery; if there are some outside the prostate then they were probably there before the surgery. Dr. Walsh's book mentions that the longer time until a recurrence actually improves the probability that salvage therapy will work. I think the reason given was that this implies a less aggressive cancer and hence more likely to be killed by radiation.
I am coming up on my one year PSA test. As I have mentioned before, I am strongly leaning toward switching from the ultrasensitive to the standard PSA test. Based on my very good final pathology and Gleason score, I statistically have only a 1% chance of recurrence over ten years. I don't want to risk giving this dreaded disease the upper hand, but I know that my personality will cause me to fret over the smallest bit of test noise to the upside. However, I don't want to unnecessarily irradiate my terrifically functioning nerve bundles. My "compromise" for this change is that I am thinking about getting tested every six months for the first five years, as opposed to yearly. That way, if I do reach 0.1, I should know this earlier than otherwise. One thing I do potentially lose is PSA velocity information that could be better gleaned from ultrasensitive testing after surgery. In my case, however, I have a good bit of data regarding my PSA velocity prior to surgery (low). My assumption here is that the aggressiveness of any cells outside the prostate would be the same as those found inside and hence should produce the same velocity. This is just my assumption, though, and is not based on anything I have read or heard.
Age:45 (44 when diagnosed)
Father diagnosed and cured at age 52.
08/21/07: Diagnosed with T1c cancer
1 of 12 biopsy cores positive; 10% tissue
Gleason score: 3+3=6
PSA level prior to biopsy: 4.3 (velocity < 0.4ng/ml)
10/19/07: da Vinci prostatectomy by Dr. Vipul Patel
Difficult surgery due to prostate inflammation.
Both nerve bundles spared.
Spongy erections began within 24hrs of surgery!
10/24/07: Catheter out; down to 1 Serenity pad/day next day.
Final pathology: neg margins, no capsular penetration,
Gleason 3+3=6, 5% tumor involvement, multi-focal.
11/04/07 First usable erection with Cialis
11/22/07 Thanksgiving - Bye-bye, pads
01/17/08 First post-surgery PSA result: < 0.008 ng/ml
03/17/08 Erection quality mostly back to pre-surgery levels with Cialis;
have not tried without meds yet.
04/23/08 Second post-surgery PSA result: < 0.008 ng/ml
07/30/08 Third PSA: 0.01 ng/ml