Sr Sailor you were also G9 and used radiation and ADT, but for only 18 months. Were your pelvic nodes radiated? Your PSA has gone up to 1.3 if I am reading your signature correctly. Refresh us on the trend. Is it stable? How often are you being tested?
The protocol that was used was very close to the one described by Oermann et al. (2010)https://pubmed.ncbi.nlm.nih.gov/20815416/
With respect to irradiation of the pelvic area, I was pretty naive about
these things and never asked. I will see the rad oncologist again in Oct and raise that question.
With respect to the trend after treatment, I had my 'nadir' of 0.1 ng/ml shortly after discontinuing ADT (March 2015; at that point my T was rising and up to 59). My T continued to go up (hurrah) and six month later (Sep 2015) my PSA was 1.4. Six and 12 months later, PSA still at 1.4. From now on yearly tests. Around May 2018 a bounce (in retrospect) to 1.7 ng/ml. Fortunately, down to 1.4 in Sep 2018. Sep 2019 still 1.4; Sep 2020 1.3. In other words, pretty stable (for now).
Initially, PSA (and T) tests were run every 6 months, but after three years (and no bad news) the regimen was changed to once a year.
PS: Regarding irradiation of pelvic nodes, I re-read a (more recent) paper from the Georgetown group. They state that their policy does NOT include pelvic node irradiation for high-risk patients and they cite their reasoning.https:// https://pubmed.ncbi.nlm.nih.gov/27200300/