I was 4+3 after my biopsy in July 2024, but 4+5 after my RP surgery on 11/11/24. I also had a number of adverse factors - bladder neck, cribriform, multifocal, nerves. PSA after 4 months was undetectable. After 7 months it was 0.02. After 10 months it was 0.04. The urologist told me to come back in 3 months but also sent me to the radiation oncologist. Rad Onc said the PSA is still low, but the upward trend is not likely to reverse so there's no reason to delay radiation. I had the Lupron shot on 10/15, and get the simulation on 11/26 with 39 radiation treatments beginning the following week. Happy holidays, eh? Hang in there.