Dr recommend radiation and HT treatment post RP, undecided???

Merely visions of yet to come...The Christmas Carol...Dickens classic tale of redemption...things that could be...or not...I sincerly apologize for argualbly creating a downer for some...but not knowing if that is true...offer this post...

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gleason 9 contained stopped psa testing jan 2015 with two consecutive psa's a year apart at 0.15
surgery 10/09 only treatment...eyes wide open...no sand...gonna live til I die...not the reverse forgive my virtues as well as my sins...

Logislidat-no apology needed!
"..eyes wide open..no sand...gonna live told I die....not the reverse forgive my virtues as well as my sins...."
I like that!

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Age 50
9/2016 PSA 4.5,
10/2016 Biopsy>2 cores positive Gleason 8, bone scan clear, MRI confirmed hi-grade tumor in prostate.
01/2017 PSA 9.4
2/13/2017 > Radical Prostatectomy with nerve sparing
Pathology > pT3b, Seminal vessel, perineal and lymphovascular invasion all present, extra-prostatic extention present, one perprostatic node with no malignancy.
Surgical margins clear
04/2017 - PSA < 0.1

Hi Vmost,

I don't think I can add much to what has already been said. I'm in a similar situation, RP with good results, but high Gleason and EPE. My surgeon says I can get adjuvant or wait to see if PSA rises and get early salvage. He doesn't see much difference between the two, and maybe I'll never need RT. I've seen two ROs and they both recommend RT, but say no harm in monitoring PSA for a while. After a while, however, the benefits of adjuvant or early salvage will be lost. I.e., if psa does not come back until 4 years later, RT isn't likely to help me.

I'm getting another couple of opinions and will sit on the decision for a few weeks. I'm leaning toward RT, but it's really a close call.

Your pathology report is a little different than mine, and I'm not conversant in your particular features. I do agree that Gleason 9 is nothing to take lightly. The chances of permanent urinary problems with RT are low, and while chances of ED are somewhat higher, there are work arounds. Permanent ED with no solutions results from death.

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62 yrs
PSA: 2/4/15: 3.5;
1/21/16: 3.8
2/13/17: 5.1
3/27/17: 5.45
3/27/17: 5.5
4/17/17: 2 of 16 pos., 15 and 4 percent. GS 8.
Bone Scan clear.
Robotic RP May 24, 2017, NYU Hospital, Samir Taneja M.D.
Margins clear, SV and LN negative, Focal EPE, GS 4+5
Prostate 44.6 grams, tumor 5% of prostate
1 pad a day after about 3 weeks. ED near total.
7/26/17 PSA <.01
9/7/17 .01