← Return to ADT for several months before Radical Prostatectomy

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@heavyphil

I am a bit confused. You had a Lupron shot, but then say if your T rises you’ll want to go on Orgovyx. Don’t think you can do that - how will you ever measure your 3 month PSA’s accurately if you are on ADT?
So if you are anxious about a rise in T/PSA and you desire ADT, you almost have to have radiation sooner, way before the .2 level. If you don’t you “could” become castrate resistant (emphasis on could) the longer you stay on ADT without doing something definitive about the cancer. Radiation will damage cancer DNA and hopefully the cells will die. That’s the one-two punch you need.
It’s good that you are consulting with someone other than your surgeon. Surgeons will always tell you to wait as long as you can in the hope that their surgery will be successful. They never want to share the glory with a radiation oncologist who steps in and mops up what they missed. No judgment just the facts.

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Replies to "I am a bit confused. You had a Lupron shot, but then say if your T..."

You are making the point the Surgeon (Fellow, 2nd dude in the surgery) said about CR, castration resistant PCa. It's still unclear to me how that takes place and what to do in order to prevent that.
I hear that there are men years and years on ADT, and not resistant. I really don't want to see my PSA rise and would want to squelch that with whatever means possible. My ignorance is showing, and without the advice of an oncologist I'm partially blind.
I'm getting a referral for a GU oncologist (GenitoUrinary) which should be a good 1st stop. Next is a Radiation Oncologist at a closer medical facility.

My next searches will be PBT vs. IMRT vs. SBRT. Sounds like the PBT causes the least side effects, but may not be covered or even available to me.
Thanks once again, HP