I am officially out of the zero club. 22 months after RP, my last 2 psa's were .4 and .3(a week later tested at the same lab). My local urologist and the surgeon who performed the robotic assisted RP are in agreement that I'm having a recurrance. The drs. both suggest salvage radiation therapy
My radiation oncologist has suggested short term hormone therapy with Trelstar. Two shot lasting six months. 39 visits for the radiotherapy.
My history (off the top of my head):
1st PSA(ever)at age 50 on my regular yearly physical exam on 6/2009 was 12.9,
I was then sent to local urologist for another PSA 7/2009 which was 15.2
The biopsy soon followed. 10 of 12 cores were positive(can't remember %)
Consulted with two different surgeons and a radiology oncologist.
Was interested in Cyberknife, but they told me my Gleason was too high. Finally decided to have the RP done.
CT Scan and bone scan didn't show anything at all, it appeared as if the cancer hadn't spread.
My cancer was graded T2C. The initial the Gleason was 4+3=7.
My pre-op bloodwork showed PSA of 19.8
Surgery went well, and surgeon removed seminal vesicles and several lymph nodes. Recovered all functions within a couple of months. Use viagra ocassionally, leaky once in great while(no worse than before surgery)
Post-op pathology showed no perineural invasion, margins were clear, although the cancer was very close to the margins. No cancer in seminal vesicles or lymph nodes. There
was some capsular extension and I believe the weight of my prostate was around 29 grams. Final Gleason score was 3+4=7. All subsequent PSA's had been undetectable until 9/1/11.
I'm looking for any information about short term hormone therapy used with radiation. I'm finding some info on the web, and if anyone has had these therapies, your advice and experiences are greatly appreciated.