Glad you are slowly improving. You will feel better once the staples and cath are removed. And hopefully you will have some peace of mind with a good pathology report.
There's a lot of answers to your question, like all things PC, no one straight way of doing anything. There was a time, when if you had bad pathology after surgery, they would want to rush adjunct radiation as soon as practical to "stop" any remaining cancer cells. There has been some change in thinking with many doctors.
First, a less than perfect pathology report doesnt mean that you will have recurrance immediatley, or even at all. Then, the thinking is for the patient to become as continent as they can before radiation, as radiation treatments tend (not always) to stunt any further improvement to any lingering incontinence issues.
We have men with terrible pathology, that still don't have evidene of reccurance or BCR, and men with good pathology, that had almost instant BCR. So, it varies much, both with the stats and condition of the patient, as well as the philosophy of the patient's medical team.
I am of the school, where I think (IMO) that there needs to be confirmed proof of BCR before any type of secondary treatment after surgery. By some standards (and this varies too) at least 3 rises in PSA above .10, with each test 90 days apart.
There's even a lot of variance in when to start radiation even if you have BCR. The doctors I spoke with, say its most effective if started below .50 and not effective at all above 1.0. Other doctors draw a line at .20. I started Salvage Radiation at .16, but I had BCR within 9 months of surgery, and had extreme PSA velocity issues even before surgery. BTW, my pathology report actually looked good in theory.
Hope some of this helps. If you ended up with a less than stellar pathology report, make sure you discuss this all with your doctor, and make sure you understand everything on the report, and of course, make sure you have a copy for your records
david in sc
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 Not taking it
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/23/10