How would you consider radiation as adjuvant ? He clearly will need to consider salvage radiation. Perhaps with positive margins, the PC is still in the prostate bed.
Actually, I would think his case might call for HT and radiation. With 10 of 10 cores, I would consider throwing everything at it.
I would recommend reading all that you can from the sites listed at the top of the forum. You will need to be decisive and firm with your doctors. You will need to decide what direction you feel is best.
Good luck on your journey. Please stay heft with us. I think you will find a lot of help here. We have guys who have had a worse prognosis than yours and are still going strong.
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