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Rising PSA immediately following RP
Prostate Cancer | Last Active: May 28 8:23am | Replies (32)Comment receiving replies
It's a shame to hear so many people that have RP end up needing radiation anyway. I've read it could be as much as 40-50% end up needing radiation at some point after having the prostate removed. Plus I have read long term treatment success is about the same as RT. I would think it would be much easier to decide on RP if those odds were better, but at up to 50% it's almost a coin flip. Keep fighting! Wishing you the best
Replies to "It's a shame to hear so many people that have RP end up needing radiation anyway...."
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@copyman
About 30% (low risk) - 50% (high risk) of RT patients have BCR also, so results are the same in that way too.
My husband is high risk and had BCR after RP and he would still choose RP as initial step since it gave him clear picture of actual gleason (which was upgraded post RP) and also gave him possibility to catch very early BCR which can easily be obscured for RT patients with PSA "bouncing". Now he has an option of localized RT which would otherwise be out of picture if he already had RT.
His RP recovery was super fast and super easy with full continence and minor ED. So - no method is full proof and no method is ideal or superior. Both can have great success and both can have BCR and both have possible SA that can effect quality of life.