Hi Frank, good question. I suspect that your doctor will focus on your PSA score which should be negligible. You may also be asked about urinary effects from the radiation, and any issues with lower colon. Both can be damaged from radiation.

In regard to the Lupron treatment, not sure what side effects you have, but you may want to talk about changes to your body. One thing that my doctors were concerned about was decrease in bone density, that all Lupron users experience. They tested my bone density and gave me an infusion of Reclast to strengthen by bones, but it was after a year of Lupron use.

The other issue could be how long to use Lupron. There's research at the National Institute of Health that says for intermediate risk cancer like users, the use of Lupron is helpful for upto 6 months, but little advantage beyond 6 months. The longer use of Lupron is helpful for those with Gleason score of 8+. Given the side effects of Lupron, personally I would question any longer use.

Also, I never met with my Urologist after treatment. I met with my radiation oncologist who prescribed my Lupron and radiation treatment. Your situation may be different.

Take care and stay well.