@dhasper
I just wish there was an answer from the medical community about this combination of aggressive issues.

When somebody has RP and then has BCR What’s next is based on the original aggressiveness of their cancer. With a Gleason nine and a combination of other issues 24 to 36 months of ADT is called for frequently. They would also want an ARPI included. With a 4+3 24 months might make more sense. You really need to speak to an Oncologist, Preferably a GU oncologist to get this treated Optimally. If you were to come to an ancan.org Meeting they would recommend you be on ADT plus an ARSI, based on what the Sstandard of care calls for in this situation.

The thing is this reoccurrence is happening pretty quickly. While .17 doesn’t sound real high. It came very Shortly after surgery. You could wait and see if the PSA continues to rise. I would want monthly tests at this point. Considering that they want you to have SRT at .2, if you can’t see anything on the PET scan. You’re probably gonna hit that in another month or two and SRT makes the most sense, it can hit the area where the IDC-P and cribriform was centered, the prostate bed.

I might be a good idea to get a second opinion. Having more than one doctor look at this can give you some comfort that the right thing is being done.