Had my 12 week follow up yesterday at Cleveland Clinic. PSA was 000 on their equipment that measures small amounts.
The med oncologist obviously said, wait till we have something to treat.
The radiation oncologist said he could go either way wait, or give it a shot now, even though there is no PSa.
The surgeon said he would like to see me have radiation within a month or so. He fed all the numbers into some sort of geonome (not sure if that is correct name) program. From that he determined that I have a 98% chance of recurrence. Thusly, radiation with 0 PSa. He also minimized the side affects of the treatment. Obviously it would be pelvic RT, especially the lymph nodes; which may lead to temporary bowel issues.
I have a great deal of confidence in this surgeon, which I hope is rightfully placed. He went in with PSa of 30, Gleason 9 and came out with PSa of 0.00. He really seems to know his stuff.
I had received some sidebar feedback from another member of the forum, but was wondering how others felt about going ahead with the radiation at this time? The other member mentioned that others, that have pretty much the same signature,
only aprox 50% have experienced recurrence. I mentioned that to the radiation onc. who thought it might be as low as 20%, but with my 0 PSa he would venture about 30 to 40% that I would not have recurrence without radiation. He did explain that there are no statistics/numbers/studies to back up what the surgeon proposed. They are pretty much going by gut feeling.
I was wondering what other members of the forum thought?
BPH since 1996. at least three negative biopsies Erie. Uro did not prescribe finasteride
2007 acute urine retention photoselective vaporize Clev. Clinic
8-9-10 PSA rose to 10.14 with finasteride positive biopsy Cleveland gleason 9, cat & bone scan negative
9-8-10 Robotic prostatectomy at Cleveland. Biopsy 9 nodes, 2 positive,seminal & vas deferens
PSA 3 wk .06, 6 wk <.03