I had a Gl 3+4 or 7 with a T1c dx 1 core of 10 positive 5% tumor.
I had the RP in Dec 05. When I met my urologist in Jan 06 my pathology came back ( usually takes about 2 weeks here in Ontario, Canada) with Gl 7 still (3+4) but 20% total tumor involvement of a gland 39mg. Sem Ves were clear no perineural invasion but extraprostatic extension there. I had 4 positive margins. Final path T3
First PSA in Mar 06 was 0.87 - referred to radiation oncologist - second PSA early May (about 5 weeks later) pushed up to 1.1 . No doubt that the RP didn't get it all! I did 36 treatments of External Photon Beam 64 G through June/July and started mono HT with 2 weeks casodex then lupron in June 06. Still taking the lupron.
If you go the radiation route, they won't start any radiation until you have your continence fully under control (I had mine in control close to the third week of May 06, five months after my RP). They probably won't do really high Gys due to the fact that the prostate is already gone - too easy to damage the colon ( but that is my guess, and I'm not a doctor). The lupron is not fun - I have many side effects.
First PSA post radiation Sept 06 <0.1 (lowest reading for the assay that they use)
Second PSA Feb 07 still <0.1 Lupron still sucks but life is great! I cherish my time with my`grandaughter who is 4, and my grandson who is 6 months.
Yuor urologist and radiation oncologist should answer all of your questions for you. If not, make sure you ask them the questions for those they didn't automatically answer. If you don't understand the answers you get, ask them again to explain better. HeHe someytimes i think they like to listen to themselves talk with all the meds jargon!!
I wish you all the best Russ, age 60