Well, I think I'll be looking at next steps soon. I had non-nerve sparing RARP on 6/24/24 with pathology of stage pT3a, Gleason 9, 60% Intraductal Carcinoma, and Cribriform Patterned 4. Today, my first 3 month PSA was 0.26 mg/ml. My Mayo team says it isn't BCR until I have two results over 0.2; however, I was also told that a test false reading was highly unlikely and it is very unusual to have a reading this high this quickly - they expressed concern. My incontinence is improved since surgery,
but the team said that salvage radiation will stop any improvement and may worsen it. I'm scheduled for a follow-up PSA in 6 weeks. I know what the treatment protocol is but I also know that my situation isn't optimal. I read all the studies saying that even with high risk PC, 10-15 years was highly likely but I am also reading that early BCR with doubling rates < 6 months puts 5 year survival at < 20%. I have my fingers crossed that my next reading does not reflect accelerated PSADT. I'm a bit anxious now!