I wouldn't be too skeptical of that statement. He's not saying if we don't do anything else..., he's saying you'll likely be able to stay in front of it with treatment.

In that PSA range, the percentage of PET's that come back positive are only 30%

I had a negative PET after RP and rise in PSA, still did the 39 radiation treatments and orgovyx (still on it) at age 60/61. PSA was only .093. That didn't even meet most clinical definitions I can find of BCR yet. I think what those two events tell us is that there simply wasn't enough cancer for the scan to see yet.

On the other hand, take winning that round. The test was negative and that's a good thing.

@Kujokujhawk1978 has some great write ups on next step decision making. You and your treatment professionals might want to have that kind of discussion. Something to the effect of when my PSA reaches (insert number here) we'll scan again. At least that gives you a plan to work. As opposed to leaving with just the open ended statement you have here. If you search some of his posts you'll see what I'm referring to.

After reading what I see here (site wide), I'm at a point where I believe the medical folks and I are likely going to be playing a game of "whack a mole" with my PCa for the rest of my days. I'd love to be wrong! but....I've sort of rallied myself to this being a possibility. Do I think this will take me out? likely not, it's just going to be a PITA going forward.

On the other hand, I have friends with the same grade cancer as me that only did radiation for treatment and have had their PSA stay down for over 10+ years to date. It seems no two cases are exactly alike.

Best of luck to you!