I was offered to participate in the Radicals trial after my post op histology showed the cancer had breached the capsule and there was also intraductal cancer present. After a long discussion with a surgeon I decided to wait. That part of the radicals trial randomly selected patients for adjuvant radiotherapy and the others got no immediate radiotherapy.
My PSA rose quickly from undetectable in June to 0.7 by November and was doubling every 4 weeks. I had an enhanced MRI and an F18 choline PET scan which between them identified two separate recurrences.
I had three months of HT followed by radical salvage radiotherapy and am completing two years of HT after SRT.
If I had gone down the adjuvant route I’m not sure they would have targeted the recurrence areas as accurately and as forcefully.
With a PSA of 0.03 or so a scan might not pick up anything although that is not certain.
Lyn is also correct about added side effects. I recovered continence pretty quickly after surgery. Now if I am tired I can get random leaks without warning. I also have post radia proctitis.
I wouldn’t change what I have done as I wanted to hit the sodding cancer really hard but you need to make any decision with pote side effects in mind.