I have seen quite a few people in your situation when I attend the weekly advanced prostate cancer meetings with Ancan.org people come to the meetings asking what their next steps should be.

When your PSA hits .2 it is recommended that salvage radiation is done. In my case, it was 3 1/2 years after surgery before my PSA started rising, had salvage radiation and it gave me another 2 1/2 years before it came back again.

In your case, salvage radiation may give you many more years. They’ll probably want to put you on ADT as well, Six months of ADT could make the difference between reoccurrence and many more years of undetectable PSA.

One of the Participants that came into the meeting a A few weeks ago had it reoccur after over 30 years. His PSA was also around 175 but a PSMA PET scan showed nothing. His PSA has been high for a few years, but his cancer had not progressed.