Hello Jaderawr, If you read my profile you will see that I had a radical prostatectomy July 2015, histology showed the cancer had breached the capsule and there was evidence of intraductal cancer in addition to the "normal adenocarcinoma.
I started HT last December and had salvage radiotherapy March/April this year.
My PSA went from undetectable to 0.7 from 1/6/16 to 30/11/16.
You are correct in saying your dad shouldn't have a PSA reading as he has no prostate to produce it so any rise in PSA will be down to cancer.
Key questions are:
1. What is his PSA now?
2. What is his PSA doubling time?
3. What was his lowest PSA figure after surgery?
4. Will any salvage radiotherapy be aimed at the prostate bed only or further afield?
5. Will the oncologist conduct any scans prior to radiotherapy to better target it? (I had a Gadolinium enhanced pelvic MRI and then a Choline F18 PET scan).
6. Will the radiotherapy be a curative attempt and if so whet are the chances of success? I was quoted 40% success maximum)
7. What are the likely side effects from radiotherapy?
How much radiation will be delivered? (I had 55 Grays over 20 sessions)
Sorry there are a lot of questions there but they are important before making final informed decisions.
Best wishes, Ian.