I too am a pT3b and my doctor was kind of casual...unaffected...and said "we'll have to talk about radiation in your next appointment." That was end of April, and I see him at the end of July. Your doctors seem concerned for you based on the pT3b category. I wonder why my doctor is not as concerned? And...
I specifically asked before surgery if my urologist was going to remove one or more lymph nodes? He said" No, the overwhelming evidence with catching cases like yours early like we've done, has proven time and again, that we do not need to remove the lymph nodes. He cited a few studies of ~2,000 men who were Gleason 3+4=7 and it showed that removing the lymph nodes always came back as "negative"...no metastasis to the nodes. But...my doctor was operating on the fact that I was a Gleason 3+4 = 7, "before" he got my pathology report that revealed I was actually a more aggressive pT3b patient. My seminal vesicle invasion was only in the left seminal vesicle, and was minimal with no tumor or advanced disease...maybe that is why he felt comfortable waiting three months. Everything is hind sight now, b ut I will ask him. I have rather assertively asked him pointed questions before, and he seems to always "poo poo" the basis of my question, saying "you should not read the internet about this disease. The majority of the internet is full of misinformation that will get you worried for nothing. I don't know who to believe.