Sorry to hear about your PSA rise... As you can see, I had a similar issue. I would always insist on the more accurate PSA test with the extra decimals... a 0.2 could well be 0.16 -> 0.24... a 0.1 could be 0.06 -> 0.14... pretty hard to track the small rises rises and doubling times with the less precise tests.
BCR (bio chemical reccurrence) after surgery is defined in the literature at a PSA of 0.2 or 0.4, depending on the rpaper/study. Another metric being used as an indicator for possible SRT is to see a 3 time consecutive rise in the PSA. That is what happened to me. My uro suggested SRT at this time even though I was only at 0.13. The oncologist agreed. I am also one that tends to want to attack possibility of BCR PCa the sooner the better, so I opted for SRT after more research the next couple of months.
Some of the literature suggests that early SRT (especially before it gets to 0.5) can prove to be beneficial in certain cases where the pesky PCa cells are likely to still be localized in the original prostate bed. Characteristics supporting this are slight positive margins and a non-detectable PSA initially after the RP. Then followed by small but steady rises in the PSA. My post op patholgy and rising PSA seemd to fit those charateristics, so I started 32 seesions of IMRT SRT for a 64 gys total dosage. I am today at 18 sessionscompleted with 14 to go... No side effects yet except for a little fatique/drowsiness.
Anyway, google and poke around for more info... as well as reading the posts on this forum. And once again, sorry to hear that you may have to leave the zero club for awhile... I had to... I pray that we can all be in the zero club and stay there!!!
After 3-4 years of annual PSA 4-6, biopsy recommended
3/13/2007 - 12 point biopsy - Left 0/6 Right 1/6 Gleason 3+3 T1c
4/24/2007 - DaVinci performed at Virginia Mason hospital in Seattle
5/2/2007 - Catheter Out! Final pathology of Gleason 6 T2c Nx Mx, approx 20% of prostate involved, positive margin, but only at 2 focal points.
6/28/2007 9 weeks incontinance... Overnite, went from 4-6 soaked pads a day from prev 8 weeks to 2 barely wet pads a day.
7/12/2007 11 weeks post-op Minimal leakage... one small pad a day
7/18/2007 First Post-Op PSA... 0.01 !!!
9/10/2007 Pad free and ED at 75% with 100mg Viagra generic
6/26/2008 2nd Post-OP PSA at 14 months... 0.02
12/2/2008 3rd Post-OP PSA at 20 months... 0.03
10/30/2009 4th Post-OP PSA at 31 months... 0.13 (moved and diff lab)
11/3/2009 Retest at my original lab... 0.11 (followup with Doc sched 11/10)
11/10/2009 Discussion indicated biochemical reccurrence and need for salvage radiation treatment.
1/21/2010 Another PSA test at 34 months... 0.14
1/26/2010 IMRT Salvage Radiation Treatment started
32 sessions for 64 gys total.
2/20/2010 17 down and 15 to go... No side effects to date except a little
tiredness. Sometimes feel like a slight sunburn on the inside for a few hours after treatment.