While your news is exactly what a PC survivor never wants to hear, it happens. It has happened to more than a few of here at HW. The fact that it has taken 3 full years to reccur with you, works better in your favor. We have brothers here that have had instant recurrance, or at 3 months, etc. Mine was declared at 9 months.
What another said above, is that you have used up only one of your two "possible cure" cards with your surgery. Thank goodness you still have your "salvage radiation" card to use in the first place. You should be meeting with a good and experienced radiation oncologist, preferable one highly experienced with lots of prostate cancer patients. You should discuss having radiation done with or without adding HT to the mix. There are good arguments on both sides of that issue, and I have personally spoken to very experienced radiation oncologists that can make a case for not adding HT, and for adding HT. Would depend a lot on their experiences and your particular case.
And as others have pointed out, even if that second card ultimately failed, you are not at the end of your rope or life for that matter.
Our brothers that are in advanced case situations, many are doing quite well on their chosen protocals.
So, at this point, the news sucks, I know, been there done that, but you still have choices and more paths ahead. Good luck, and keep us posted.
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, no problem post SRT
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 same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, Caths #13 & #14 same time, 3/6 Cath #13 out - 4 days