Hello All. I wonder if any members of the forums have experience of RT having already had RP? I was clear of PCa after a RP early in 2011; however, I had a biological-recurrence late in 2016 after 5 years (a good run and no complaints) - the numerical details are at the foot of the message. I have elected to go for RT but, despite contacting PC UK, who were fantastic, and chatting it over with the Onco and doing a fair bit of research myself, while I am pretty confident it is the right way to go, I am still more than a bit nervous about the potential risks of getting rid of the PCa but attracting the worst-case side-effects, or worse, finding the PCa remains the same (PCa not in the prostate bed), with side-effects and the added follow-on treatment.
I remember before RP going through the same thought loops (RP versus RT) and the mind tends to drift towards the worse-case scenario. If any one has been through this particular sequence I would be grateful to hear about any experiences. I have been through most things, letting the PCa run-on to a point where it reaches 0.2 and perhaps becoming visible on a scanner - but that may miss the one chance of containing it early. I could accept that the way I am now is ok and decline any more strategic interventions, using hormone therapy etc to contain it - but I would kick myself if I then felt I hadn't taken a chance.
In writing this, readers may be questioning why I am writing - it looks clear cut; go for the nuclear hit! I just wondered how others came to this, or another conclusion. All the advice has been positive (accepting that no-one can make the decision for me), any thoughts would be helpful.
Many thanks for reading.
Age 66 and still active. Gleason 3+4 PT3a Post-op, tumours at the bladder neck but margins clear - possibly microscopic PCa remains but margins clear - an accurate assessment as it turn out!! My PSA remained undetectable until late 2016 when it went up to 0.03 (still nothing to be concerned with) until the last 3 readings have moved upwards, taken every 3 months, which have moved the score to 0.05 in Mar 18. Although it is a number that readers will think is still insignificant, the fact that I don't have a prostate means the reading is on the move.