← Return to Salvage radiation therapy after radical prostatectomy

Discussion

Salvage radiation therapy after radical prostatectomy

Prostate Cancer | Last Active: Nov 13 8:13am | Replies (90)
Comment receiving replies
@michaelcharles

Age 72 RP Aug 2022
Nov 2022 1st PSA 90 day postop .19
Called Persistent PSA and considered BCR.
Began Salvage Treatment February 2023 - 37 radiation treatments together with short-term ADT.
4 subsequent uPSA tests all undetectable < .02
Radiation side effects went away 2 - 4 weeks after radiation treatment ended. No additional side effects from radiation.
Now 74.
My understanding is that the sweet spot for Salvage treatment is PSA .2 - .4/.5
See SPPORT trial.
Seems that ADT may or may not be prescribed; some evolving philosophies and protocols.
Best to you with your choices.

Jump to this post

Replies to "Age 72 RP Aug 2022 Nov 2022 1st PSA 90 day postop .19 Called Persistent PSA..."
jackiepie | @jackiepie | Oct 28 3:56pm

Thank you for sharing your experiences with me. I probably will have radiation at some time, but I am still just watching PSA carefully. If PSA shoots up to around 0.2, I will probably do salvage radiation. It is good to hear that you seem to have no lasting side-effect from the radiation and that is got your PSA in check. I do have two questions however. 1) What is the SPPORT trial? Where can I find that? and 2) what kind of radiation machine was used? Perhaps a Varian True beam or a Varian Halcyon?

Thanks again for your reply. It was helpful in my overall decision-making process.

VIEW AND REPLY