My PSA has been, for the last 4 months, .01. I think that it was this low due to ADT and Erleada, but I did have RP 10 months ago. My last ADT and Erleada medication was 4 months ago. The androgen receptor inhibitor medications ( such as Erleada ) has been a big help to many here.

If your PSA is elevated, you need treatment to lower it. No surgery and/or radiation your testosterone levels need to come down to castration levels (less than 50). Testosterone is a fuel por PC growth. At least a receptor blocker or ADT are necessary to control the disease. How low your T levels go, will depend on treatment.