Salvage Treatment of radiation to the whole pelvic region and pelvic lymph nodes (WPRT) together with a short term 4 - 6 mos of ADT has not left me with any significant side effects (SEs). See SPPORT trial.
If you have had a PSMA pet scan w/o definitive identification of metastases, the expectation is that cancer cells remain in the pelvic region.
RP @ 72 in Aug 2022
Persistent PSA of .19 postop.
Salvage tx at 73 Feb - June 2023
PSA undetectable at < .02 6, 9 & 12 mos post treatment.
Feel very fortunate so far and hoping/praying to never hear from my G 9 w/ EPE again.
Highly unlikely.
Maybe I can get a few years into the future and tx will continue to evolve in favor of all of us. Taking it one 90 day PSA test at a time.
My experience and point being, that for now my BCR is treated and PSA is undetectable.
Any radiation side effects disappeared 2 - 3 weeks following completion of radiation. And yes, the 4 mos of ADT Orgovyx was not pleasant, and the hormone SEs took an equal amount of time to disapate.
Best wishes to you and all in your treatment decisions and results.