As you think about
options there is some research that indicates 6 months of hormone therapy in addition to the radiation has advantages.https://www.medpagetoday.com/meetingcoverage/astro/75858
My radiation oncologist at Fox Chase Cancer Center (Dr Horwitz, quoted in the article) was pretty passionate about
the use of hormones in addition to the radiation.
The big decisions that will need to be made are:
1) When to pull the trigger on the treatment (what psa level)
2) What to radiate (just the “fossa” or the entire pelvic area)
3) How long to use hormone therapy
I pulled the trigger at 0.10
Just the fossa.
6 months hormone therapy.
The advice on healing up is relevant. I am still dealing with incontinence issues and ED coming on 2 years after the initial surgery. I didnt want to wait.
After the above, I was non detect for about
12 months but recently became detectable but still less than 0.2 as of April 2021. Radiating my entire pelvis remains an option.