@ginger38314 Many surgeons can do a prostatectomy after radiation these days, but if the recurrence is outside the prostate anyway (as is often the case with radiation, and always with a prostatectomy), there would be little point.

If you already have undetected local spread now that will eventually grow to a detectable level, the prostatectomy won't get it, but the radiation (if not too narrowly focused) might, either as your first treatment or as your second. But as I understand it, it's not really as if doing a prostatectomy first gives you two shots at the same thing.

Disclaimer: not a medical professional, etc.

Best of luck!