OK, in my readings I am confused about
this issue. Right now, it is just academic for me; I'm not even at the post-op BCR/SRT phase (but I might be there soon).
Suppose I start SRT with a PSA say of 0.25.
What happens with PSA post SRT? My understanding is that it may stay at 0.25 or even go a bit higher at the start but it should go down in a few months if it works. Is this correct?
Finally, let's say it fails. When does one start HT?
I've read reports about waiting until the PSA goes above 10. (Stalling as much as possible?).
I've read other reports about hitting it hard immediately while the PSA is still low.
Is there an answer?
PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (PSAf: 24%), PCA3 =75 .
Biopsy 11/30/09. Gleason 4+3. Stage: T1C. Current Age: 64
Surgery: Dr. Menon @Ford Hospital, 1/26/10.
Pathology Report: G 4+3. Nodes: Clear. PNI: yes. SVI: No. EPE: yes. Pos. Margin: Yes-- focal-- 1 spot .5mm. 100% continent by 3/10. ED- in progress. First post-op PSA on 3/10/10-: 0.01. PSA on 6/21/10--0.02. 9/21/10--0.06