Even though I have no BCR at this time, I saw Dr. Kishan primarily to get a second opinion on my decision not to pursue adjuvant radiation now, but instead to be prepared for salvage radiation if and when my PSA rises to around 0.2. He agreed with this approach and noted that imaging scans might be useful at that point if the cancer becomes detectable.

I also asked him about the PROSTOX test, and he ordered it on the spot. A nurse collected five cheek swabs from each side of my mouth. The results may help guide future decision-making by identifying which treatments I might tolerate better—or should potentially avoid—if and when treatment becomes necessary.