Hello, I have gone through the exact same scenario. After my RP surgery, on January 7, 2022, eight lymph nodes were tested. One was positive with a Gleason score of 7. Ugh. After discussion with my radiologist, he suggested 39 treatments, I decided to wait. My oncologist suggested ADT treatments for 24 months. Since each of these treatments come with their own set of negative side effects, I decided to monitor my PSA level and follow a healthy diet coupled with exercise. I had a Zoom follow-up appointment two weeks ago with my oncologist. We reviewed my two PSA test results, which said my PSA levels were undetectable (<0.1). 😊 We decided to stay the course and continue to monitor my PSA level every three months for the next 18 months and less often thereafter. I know every situation is different; I hope this helps you.