I went to the radiation guys because of my Gleason 9. My guy claimed a study that said I had a 5 % better chance of non reoccurence, but that there was a 1 to 1 1/2 % chance of radiation tumors. Because my PSA is still undetectable, I am not starting adjuvant therapy, which is the approach Cleveland Clinic is recommending.
If I was in your situation, and I was sure the PSA was accurate, I am sure I would be doing the same thing. Obviously according to the study, there is some time advantage. I also went to U of Mich and they said 4 months was the magic number.
What a journey this PC can drag us through. We are forced to make decsions that we have little or no real reason to make based on our own knowledge, or even real scientific knowledge of others. Studies are statistcs, with a whole lot of variables that may or may not be in line with our variables.
Good luck Sonny. I think at this point a week or 2 or 4 won't make a tremendous amount of difference, so take your time and make sure the decsions you are making feel right to you.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic 4/14/09 Nerves spared, but carved up a little.
0/23 lymph nodes involved pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free 6 week PSA <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED. Trimix injections