I am 21 months out.
Yes, I know, that is the next question. With a low PSA, I am thinking that Rt and Ht may be very effective in wiping it out. On the other hand, it may just be wistful thinking.
I have heard conflicting stories on BCR post op. Some imply that the longer it takes for PSA rise, the more likely it is localized in the prostate bed. Other opinions seem to say the opposite.
If I knewvthe answer to that million dollar question, I could make a better decision. If the PC is localized, then the Rt will be effective, and no need for Ht at this time. If however, it has gone systemic, then now or later may not make much difference. Might as well save the Ht bullets for the last non-curative approach, for a few years of extended life.
I am looking for arguments not to pursue Rt now. Will be going to Cleveland Clinic to see what they say, and may go to UMich as well.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic 4/14/09 Nerves spared, but carved up a little.
0/23 lymph nodes involved pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free 6 week PSA <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED. Trimix injection
No pads, 1/1/10, 9 month PSA < .01
1 year psa (364 days) .01
15 month PSA <.01