Connect
ADT or SRT first after BCR
I had my RALP a year ago. So far using standard PSA tests my results were all less than 0.1, however if this changes for the worse what treatment is usually suggested next? ADT or SRT.
Like
Helpful
HugInterested in more discussions like this? Go to the Prostate Cancer Support Group.
Connect
Suggest "Rising PSA following Tx" video Jan 17 2023 pcf.org.
Salvage radiation w/ or w/o ADT following BCR is SOC.
"Salvage radiation w/ or w/o ADT following BCR is SOC."
This is what I did, with ADT. Started at first rise of PSA
0.039 to 0.091 seven mos after surgery.
Thanks. How long ago was that?
My situation is almost exactly the same, and based on the research I did there are two ways to look at the situation.
1): At this stage it is called micro mets, which is undetectable by a psma-pet. however it is some place in the body. At this point it is very vulnerable to systemic treatment such as ADT and or chemo.
2): The other option is to wait until it "ripens" to the point where a psma-pet can see it and then hit it with pinpoint radiation.
Hope that helps.
-
Like -
Helpful -
Hug
1 ReactionSRT ended in July of 2022, still on ADT (orgovyx)
Thanks. Good luck with everything.
-
Like -
Helpful -
Hug
1 ReactionThere is lots of discussion/controversy as to which approach is most appropriate. I received conflicting advice from my urologist and radiation oncologist You should research this particular issue.
Unfortunately, there seems to be a lot of conflicting advice as well as studies with PCa. All I know is that men should have their PSA numbers checked annually at their physical and there are several great treatment options for PCa.
I'm still getting this now....regarding the length of time I should be on ADT
RO -six months is appropriate
Surg - I want you on it for two years.