Sorry to hear about your husband's PSA score. My track was almost identical -- rising PSA noted 18 months out from surgery. I am a Gleason 8. In the immediate future, repeat testing of the PSA is probably the best bet -- hopefully your husband's score was an anomoly. In my case I had four PSA tests in 5 1/2 months last summer/fall, and the PSA went up in each one. I would suggest from my experience being aggressive about tracking the PSA.
If you get to the point of talking about radiation (SRT) you should be aware of two options in addition to what I call the "basic" eight week run of radiation.
> radiation to nearby pelvic lymph nodes (done at same time)
> hormone therapy (HT) to weaken cancer cells prior to and during radiation
I opted for and recently completed all three -- an "all in" approach because frankly I think that was the best chance to knock this thing out. You will get a lot of input and viewpoints about these two options here on this Board and from your physicians, but I thought you should know about them. Best wishes!
DaVinci surgery 11/09. Clean margins, clean seminal vessels.
Rising PSA noted 06/11
Time to recurrrence 18 months
Three month doubling time (summer 2011).
PSA rose from .07 on 06/11 to .17 on 11/11.
MRIs and bone scans negative so far.
Started Lupron/Casodex 12/11
Began SRT radiation 02/20/12.
Finished SRT radiation 04/16/12
Follow up in July, 2012. PSA "undetectable"; testostorone "undetectable."