I had RP in November 2024. My Gleason score changed from 4+3 from the biopsy to 4+5 after surgery, with some adverse factors including bladder neck invasion. My PSA was 0.02 in June, 0.04 in September. While those are low, the trend was the wrong direction and we decided to begin radiation. I had a Lupron shot in October and began radiation in early December. I've had 20 of 39 radiation treatments. The rad onc recommended aggressive treatment and I agreed - no need to wait for a higher PSA when we know what's coming. Radiation is going well so far. Only side effect for me has been fatigue.