TJ - your situation is very similar to mine- darn similar . I got salvage radiation , 2 years after my operation- it worked well . Dropped me back from post op of 0.14 , to 0.031 almost immediately . No ADT unless ABSOLUTELY needed , in my opinion and that of my RO . My URO was is full agreement of no ADT and just 22 sessions of light radiation . It seemed to work for me . Both say I have now health prostate cells in the area producing small amounts of PSA - they are not worried about it . I elected to get 3 month PSA tests , my Urologist said yearly now is good , but is OK with every 3 months if it will calm my anxiety . Hope this helps