I've jumped on this thread as I'm now just over 1 year past my RARP event and am a member of the pT3a Club. I was Gleason 7 (4+3) and at surgery had some extra capsular extension but with a 7.6mm positive surgical margin. The vesicles were tumour free. Histology promoted me to pT3a+ (although I'm not sure what the + means) .My first PSA test came back at <0.1, followed by three 0.1s and then my last, about 4 weeks ago at 0.2.
I was referred on to Oncology who have Trust procedure of carrying out RT at this 0.2 PSA level. So, I'm now waiting for dates for the full 4weeks of treatment, probably in the New Year. I'm glad they're so proactive and have a plan in place but wonder is this standard? I had heard that some Trusts wait till 0.4 or 0.5, or alternatively, a doubling of PSA.
I'm also pleased I went down the RARP route, even though the operation hasn't been a complete success and there are still some naughty cells in there lurking around. The follow up option of salvage therapy seems a reassuring option.
I didn't have a pint last night to think over the implications but a glass of Port Charlotte went down nicely.