Hi Alan48, My PSA suddenly started increasing about a year post op rising from 0.3 on 1/9/16 to 0.7 by November. So by the time I saw an oncologist I was way above the 0.2 which is regarded by most as a recurrence. That said clearly something is going on so if I were you I’d be seriously considering the HT and the RT as it is very likely (though not guaranteed) that you have a local reccurence due to the slow rise in PSA and time since surgery. I had a gadolinium enhanced MRI and a choline F-18 PET scan showing I had recurrence in the prostate bed and a seminal vesicle remnant.
This allowed my salvage radiotherapy to be very carefully planned to hit those areas plus the whole of the prostate bed.
My oncologist was very seriously concerned I would suffer life changoing side effects with terrible bowel issues but after a planning scan the risks were shown to be well within the tolerances he worked with.
He was also concerned I had distant spread in the form of micro metastasis which scans couldn’t pick up.
I had three months of HT and am still on that until January 2019.
We wont know whether the salvage radiotherapy has worked until the HT comes out of my system.
I have increased side effects now where I leak urine randomly but espec when tired. I don’t leak massive amounts but it is enough to be embarrassing. I am also fatigued and suffer hot flushes from the HT.
I gave up work recently and although I can get very tired I am active and enjoying life.
It is a big decision and as Chris says QOL must be considered. The alternative is that you may eventually have to go on HT if the PSA keeps increasing.