Your surgery lasted a long time . I had Operation in 2021 . My PSA rose to 0.14 , that was 1.5 years ago . Decided to get Salvage radiation then . Since then PSA has been very low in the 0.03- 0.045 range . No side effects really . A little 'jumpy bladder ' for 3-5 months but fine now . I did radiation early . 22 sessions , no ADT or anything else. Seems to work well . Keep us informed and best of luck ! James on Vancouver Island .