There is life after G 9. I have deferred SRT until significant rise in PSA. So far, so good.
In your case,with the Sv, and the lymph node, I would think that adjuvant radiation in 4 months will probably be advisable.
In my own case, I have not been shy about
consulting multiple doctors to arrive at my decisions. One doctor, one opinion is a little risky in this game in my opinion.
Good luck, and keep us in the loop. Many of us guys have active emails in our sigs, if you want to take these discussions a little deeper.
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