A Gleason 3+4 Is a nice number to start with, But the fact that it had already spread to one lymph node could means that it is in the bloodstream.

Don’t freak out, You still have a very mild case. You could have salvage radiation and it might resolve the problem.

You could see if your doctor would let you get a PSMA PET scan even though your PSA is quite low. Maybe you can find somewhere else that has spread that is not in the area that you would have salvage radiation. Doctor at PCRI conferences say that salvage radiation doesn’t hit the right spot in about 2/3 of the cases and That zapping it with SBRT is a preferred method.

What kind of doctor are you working with? You are now beyond the expertise of a urologist, You should be working with a radiation oncologist to start with and also a Genito Urinary Oncologist To try to guide your treatment. You could wait one more PSA test to see if your PSA continues to rise. If it does, as you can see from the other information I provided, you don’t want to wait too long And allow your PSA to get too high before treatment.

I had a prostatectomy 15 years ago and 3 1/2 years later it came back. I had salvage radiation and two years later it came back, Went on Lupron at that point. I was 4+3 with BRCA2 And I’m still around.