I had SRT in March 2016 after BCR (see attached clinical history).

It was 39 IMRT, 70.3 Gya.

Side effects, none.

Why, testimony to my radiologist and her team?

Hardest part?

Timing of full bladder.

As others have said, ensure rectum is empty.

Something to discuss with your medical team is whether to extend the radiation treatment to the pelvic lymph node system and add short term systemic therapy, six months up to say 12-18.

Since it was less than three years and the GS 3+4 may place you at the edge of moderate risk, that discussion should center around how aggressive you want to be.

Imaging can only show so much. Micro metastatic disease may be there in the lymph nodes.

There is some discussion about SRT as being a "curative" intent.

There is also discussion that once PCa is no longer local that it is advanced, not curable but manageable.

Like I said, a discussion between you and your medical team. If not "curable" then the conversation my shift to outcomes such as progression free and radiographic free "survival."

Just a thought.

Kevin