I had T3b, Gleason 9. Had RALP on September 16. Now PSA undetectable but am still going to get radiation/ADT.
THIS IS MY OPINION AND MY TAKE: I am 71. I was given the choice of either radiation or RALP. I chose RALP because my surgeon and radiation oncologist told me that if I have radiation and it doesn't get it all, I cannot have radiation again. Since my PC was already outside the gland in the ducts and one set of nerves along with a lymph node, I chose surgery because the chance of it reoccurring *in my case* is very, very high, according to the surgeon and the radiation oncologist.
I am not sorry I chose the RALP. It is now Dec. 18, basically 3 months after surgery, and I am continent, can have vacuum pump-assisted erections, can achieve orgasm, and am living a good life. I will start my ADT/radiation late next month. I have another PSA test scheduled soon.
You need to be your own best advocate. Read, ask, and YOU plot your future. If the doctor you have won't listen to you or gives you flippant answers, get another doctor. Again, you have a long life ahead of you, and YOU must advocate for yourself.
Wow that is excellent advice.
My Dr is either busy or doesn't want to answer. Expect it's a bit of both.
It is hard to get in to see someone else. It took almost 4 months to get into this on.
I'll do my best to talk with the radiation oncologists.
I expect the medical industry is under pressure here in Tasmania.