Whether you call it adjuvant or Salvage. My 90-day post-op PSA was .19 and I began the process for Salvage radiation.

Surgery in August 2022 and radiation in March 2023. I had IMRT radiation over almost 8 weeks at Johns Hopkins.

I have read that 6 months is a good period of time following initial surgery to begin radiation treatment as it allows the prostate bed to heal.

Numbers: Post stop pathology confirmed Gleason 9 with epe. All else clear.

2 years following completion of Salvage radiation treatment (WPRT) see SPORRT trial and my upsa has been undetectable < .02 with my next test later this month.

Fortunately post-op I had excellent continence and the salvage treatment had little impact on that function. ED recovery paused during salvage treatment, whether from ADT or radiation or both. Can say I have had significant ED recovery over the last 3 years but not 100%.

Best wishes.