Sorry you and your husband have to be here. I know these first weeks can be overwhelming. Here are a few thoughts as you work with your physicians and do your due diligence.
> If you have access, try to go to a major medical center with lots of practitioners (medical and radiation oncologists) experienced in this disease. I do not think there is any substitute for depth of medical resources.
> In choosing among treatment options, do not assume your husband's Gleason will stay as is. Lots of men on this Board have seen their Gleason scores upgraded in post surgery pathology.
> A recent and major study (1000 men, 10+ years) out of Europe reports significant advantages to immediate radiation (Adjunct) after surgery, as opposed to salvage radiation (SRT) down the road in a few years. May want to talk this over with your providers. Here is the abstract in the Lancet:
Whatever course of treatment you choose, not you, your husband, or his physicians will ever know if that course was optimum in his case. I am afraid we live with uncertainty every day with this disease.
Best wishes to you both!
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 hormone therapy (Lupron/Casodex) 12/11
Began radiation (SRT) 02/20/12.
Finished SRT 04/16/12
Last Lupron shot 03/12
PSA and testostorone "undetectable" 07/12
Next PSA and testostorone test early January