Layperson response.

Mixed bag: RP recovery excellent; surgical margins clear; lymph nodes & seminal vesicles clear; surgeon optimistic.

Unfortunately, postop pathology reported Gleason grade 9; extra prostatic extension (EPE), which I understand as cancer cells outside prostate but within surgical margins, indicating aggressive cancer characteristics.

1st 90 day PSA a very disappointing 0.19 (repeated 0.18).

Rad Onc recommended radiation to pelvic floor (38 txs) and 4 mos hormone therapy. Begin tomorrow with Orgovyx. Radiation next Friday.

However, 2 friends with 7s doing great post RP w/ PSAs below 0.1.

Hopefully difference is aggressive nature of my cancer vs theirs, and hopefully your🤞🙏

Best wishes.