Radiation or continue watching

Posted by ligriv1 @ligriv1, Sep 21, 2021

I have had a 4+3 score and a PSA of 15. I have been watching for three years. My urologist suggested radiation and I am scheduled to start in a few days. At my request I was given a new PSA test two months after receiving Leupron. My latest PSA score is 2.553. Should I continue with radiation or keep watching?

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

What is your dr telling you. The Lupron is working for you so you need to get his opinion. I have been on Lupron for 3 years with active surveillance.


Hi @ligriv1, did you decide to start radiation? What type of radiation and for how many treatments?


I had the same Gleason score as you with a PSA of over 11. Once I took Eligard it dropped to around 2.5. Had the same thought as you re remaining on Eligard and do active surveillance. Dr reminded me that I would continue to have hot flashes while on it so I decided to go with SBRT 5 treatments over 10 days. Although the hot flashes did continue for a while they have been gone for a good 6 months. Lack of sex drive and penis shrinkage is another story. PSA after SBRT was <0.1, six months and the report I just got today, 1 year after radiation, PSA is still <0.1 So all and all I'm pleased. If you go the radiation route make sure they monitor your Testosterone levels. My age is 73

Please sign in or register to post a reply.