10.5 yrs post RP no adt or radiation
Gleason 3+4
Psa < .01 For 3 years then slow rise Psma at ucla showed nothing at psa of 6 years post RP .59
Psa rose to 3.2 at 8 yrs post RP
Psma showed 3 pelvic lymph nodes
5 SBRT treatments
Resolved the lymph notes dropping psa to .6
At 10 yrs post RP psa rose to .8
Psma showed one small new lymph node which ucla radiation oncology said was too small to treat
Started ADT with Orgovyx and xtandi
Within 5 months PSA is < .01
Oncology said depending on next labs will stop adt at approx 8 months of therapy and follow closely for any rise in psa
Body seems
To be adapting well to adt
Back to pickleball and gym
2-3 mile dog walks daily
Apetite has been down. First ski trip of season planned for mid December. Emotional turmoil is now minimal.
I do believe being treated at major
Medical center is crucial for best outcome