I actually read this article when I first knew I would need salvage radiation. I consulted with an RO who totally agreed with the article, telling me that any PSA less than .7 did not need ADT, only radiation.
I then consulted with Sloan and they said I DID need ADT, which had been my feeling, in spite of the newer findings. I asked my urologist what he thought and he said that although the newer findings supported the idea of no ADT, 6 months on Orgovyx in an otherwise healthy or medically supervised patient “couldn’t hurt”.
My feeling was that my Gleason 4+3 unfavorable just might be a bit more aggressive than “Intermediate” might imply and even though my surgical pathology was negative, it STILL recurred. So I wanted to hit it as hard as I could so hopefully I could end this problem once and for all🤞