BCR what to do? Prostate cancer feedback

Sarge22,

I go with your urologist. You may officially be at a considered BCR PSA level, however many clinicians hold off treatment until .5 to 1. Since nothing even shows yet on your PSMA Pet there is no target for the Radiation as you are probably aware that two schools of thought are emerging regarding when to begin treatment after BCR, one being the PSA driven and the newer Image driven based on the advent of the PSMA Pet. I have read the PSA needs to be somewhere between 1 and 2 before the PET might pick it up for specific targeted radiation. At 73 I would want to continue my active quality of life without the side effects of radiation and hormone therapy until absolutely necessary if its believed the same outcome is achieved. With your urologist recommending continued AS while your Radiologist recommends the radiation, on the Radiology side their is financial incentive off the Radiation while your Urologist does not have any financial incentive. That does not mean your Radiologist is wrong in his recommendation and in his belief in that he thinks that is what he truly believes is best for you, and that is why even now if questioning what treatment approach will be best, don’t hesitate to get a 2nd opinion

take a look at this you may want to have a consultation with dr robert reiter out of ucla before you do any of that radiation they don’t have a clue where it is. You may be doing that radiation for nothing. I would see caution that’s for sure and get a second opinion.