12 years ago I had salvage radiation, 3 1/2 years after a prostatectomy. The prostatectomy left me with ED so the radiation didn’t make any difference. I had seven weeks of salvage radiation and after about five years I started having problems with incontinence, It has been treated by a drug that works quite well. I had no other side effects from the salvage radiation, Some people do have fatigue and urinary tract issues during radiation, but not most people. Savage radiation usually does not damage ED if you already are able to get an erection. It may affect it after a few years, however.

At a recent conference, doctors were talking about the fact that Salvage radiation only works real well in about 1/3 of patients. Dr Scholz Recommended that people wait until Metastasis show up, And then zap them with SBRT. He has found that has worked well, and many patients have had long-term remissions after that. For me, the salvage radiation lasted about 2 1/2 years before my PSA started rising again. You can listen to the doctors talk about salvage radiation by going to YouTube and listening to the latest PCRI conference, The last hour and a half this is discussed so you could skip the First five hours or so.

I’ve was on ADT for 8 years. Yes, it’s no fun, but it works, Even when you become castrate resistant, it works a little. The thing with ADT is, you must get a lot of exercise in order to manage the side effects. Walking every day and doing exercise with weights a few days a week makes a big difference in your overall health.