Hello Dick, and welcome to HW. Looks like you are on the recovery side of your surgery. How are you doing with that, its been less than a month ago. Are you catheter free at this point, and if so, how are you doing on your incontinence? You should be able to have radiation much closer to where you live. Some will reccomend adjunct, and others will want you to wait to see if you have any recurance after your surgery. There seems to be a change in thinking on the subject going on. The radiation oncologists I spoke with, want to see 3 consecutive rises in post s urgery PSA above .10 before considering going to radiation. You will probably know more when you have spoken to one or more yourself. I had 39 treatments of radiation 72 gys) for salvage. They used instant scan x-rays each time I was aligned for treatment. In my case, it was just the prostate bed they were doing. There are several ways/methods they administer IMRT, we have had a variety of those here with different men and different cases.
Please keep us posted of your situation.
David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence: 1 Month ED: Non issue at any point post surgery
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped 9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4, Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days