after 25 years from radical prostectomy, psa values have increased

Posted by fag @fag, Jun 4 9:45am

I had radical prostectomy 25 years ago and controlled years of the psa values. in the last four years those values have increased from 1.1 to 5.2 in four years. Done PET test with nucleotide and found activity in the pelvic bed. The urologist+oncologist suggest ADT and IRMT for 2 years.I am 87 years old with ,as often usual, kidney problems and blood pressure medically controlled. I have read that the side effect of the ADT are often worse than those from radiation treatment.
Given my life expectation, should I simply do nothing?

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chippydoo | @chippydoo | 2 days ago

Congratulations on your 25 years! I never went to undetectable after RP and BCR and onto radiation after 2 years. Guessing at 87 you are considering quality of life or treatment? A family friend recently passed away a couple of weeks ago at 93 with PC. They discussed treatment which would have bought him a few weeks to a couple of months, and he chose to peacefully let go. The decisions we have to make in the late evening of our lives. I wish you peace and happiness as you walk through your choices and outcomes.