BCR after 5 years Prostatectomy now questions about SRT

Posted by rjnoonan @rjnoonan, Apr 8 10:20am

This forum has been very helpful. I just discovered I have BCR after 5 years no levels of PSA tests. Had the Prostatectomy with little or no side affects little over 5 years ago. Now PSA is at .45 after being undetectable for 5 years. PSMA/PET showed nothing of concern. CT scan came back clean. Decipher test shows .61 as higher risk. Contacted Mayo and they said I did not qualify for Proton treatment. Therefore looking at local radiation therapy. I am 62 years old and fairly healthy other than PSA. My question to the group is how radiation affected ED and Bladder control. From what I read on this board, ADT is not fun. Looking for any advice and experiences from Radiation therapy after prostatectomy. So very grateful to have found this location for others in my position.

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@rjnoonan

Late response. I had prostatectomy little over 5 years ago. My PSMA PET showed now areas of concern. CT was negative but PSA continues to rise. .43, .48, .49 in last 4 months. I am being instructed to proceed with 9 weeks of SRT and ADT. Seems excessive but it appears all the active cells are still local in the prostate bed. Hope that gives you some insight.

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Hey rj, I would strongly advise radiation to the pelvic nodes no matter what any scan shows - in fact, INSIST ON IT.
More than 35% of salvage cases fail because only the bed is treated. I just had this done and you’re on the table already so it’s no big deal. No extra SE’s either.
Phil

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