Choosing Radiation Oncologist - rising PSA post prostatectomy

I have very similar time line as your husband I was 15 months post prostatectomy when my psa reached .13 from previous .06 3 months earlier My urologists then had me get a PSMA pet scam, no cancer found/detected which was expected. He than had me had me see urologist Rad Onc who only specializes and prostrate cancer, after consultation I was put on ADT Orgovix which knocked my psa to undetectable within 3 weeks , I expect to be on this for at least 2 more months. I than began my round of 39 treatments which I completed last week (prostrate bed and LN areas) and am now waiting for 6 week for my next psa. I was stage 4a so I took an aggressive approach which both my primary, and urologist felt was the best course of action before my Psa reached .2 I hope this helps on his quest we are all in this together.

This is really helpful, thank you. When you say you were stage 4a, what does that mean? John's Gleason was 4+3 but unsure what his stage might be.

I was also gleason 4+3 as far as staging goes I have added this link which can explain all you will need to know about staging.
https://www.healthline.com/health/prostate-cancer-stages

What a great article. So clearly explains the issues that can be terribly confusing. Thanks for sharing!

We heard from the Urologist about John's Pet Scan done this week. He wrote "indeterminate lesion where your seminal vesicles used to be which is indeterminate, but could be consistent with recurrence of the cancer." On the advice if the Rad Ond team he has been scheduled for MRI, soonest is mid September! He has the Rad Onc consult on Aug 14th.
I'm not sure if this means seminal vesicle invasion (I think these were removed as part of surg) so not sure how that could be. This is so disappointing as surgery seemed so successful; contained in prostate, clear margins and 31 lymph nodes from pelvis all negative for cancer. Anyone experience something like this a year or more post surgery? The waiting is agonizing as most of you know. Thank you.

Hi, please keep in touch. Husband had a prostatectomy 2008, biochemical recurrence 2022, PSA .24 x 2, PSMA scan neg, 37 Rad tx's to prostate bed, last 3 PSA 4 months apart, < 0.02. Now during every 6 months, next in September. Good Luck!

Thank you for your kind note and words of encouragement. It's so helpful to hear from folks with shared experiences. Rad Onc consult is next.