@jeffmarc

Yes - true statement was lost in that sentence, I can see how it could be misunderstood.

What @topf meant was "one should think before rushing into salvage/ adjuvant RT while ultra sensitive PSA is undetectable". Most doctors just do not advise it so soon after RP since toxicity is higher when body is trying to recover and heal immediately after RP.

Actually our urologist and MO strongly advised against doing anything before BCR happens in general. RO consultation was before the first PSA came and he agreed that we can have adjuvant IF we want it and that it might be helpful, but even he told us to wait little bit longer till my husband becomes fully continent. Fortunately (knock the wood) PSA came as it is (thank heavens). At the last meeting urologist told us that we should be "thrilled" with such low PSA and to concentrate on healing and if need presents, RT will be available immediately. He told us that since he is actively doing all kinds of research that he is following all of his patients ( in thousands) for decades and is not just talking about "papers" and "statistics" but from personal experience. He also told us that he can not stress enough how diet low in animal protein (meat, eggs and milk) can positively effect delay of BCR or progression of PC in general since he did those studies.

We completely understand that BCR can happen at any time, but it can happen to any gleason and any "margin" or "no SVI" etc etc., and we decided to take one step at a time .

BUT, everybody is different and every case is different so it is at the end personal preference. I think that asking several opinions (RO, MO , urologist) is always beneficial and especially in case of adjuvant therapy.