I had my RALP on 20th June. The histology showed that there was a 2.5mm area of extra capsular spread but the margins were clear and all 11 nodes were free of malignancy. The urology consultant said the spread increased the likelihood of recurrence and put this ay about a 20% risk.
Since then, three blood tests have shown PSA undetectable at <0.1.
I saw the oncologist to discuss the RADICALS trial and she told me that there was no indication to say whether radiotherapy now or when PSA started to rise was better. Indeed, that was the point of the trial. Having ascertained that radiotherapy now would not categorically rule out a recurrence and that there are side effects of the treatment, given that I have been very lucky not to have suffered from incontinence, I decided against the trial. The oncologist had no problems with my decision.