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SRT very likely - HT as well?

User
Posted 02 Apr 2026 at 10:44

I had RP in February 2024 that was straightforward enough - negative margins, T2c confirmed in post op histology and partial nerve sparing. General recovery and health over the last two years has been good. I'm still working and generally very active. 

Initial PSA tests were undetectable but became measurable in December 2024 (0.01) then 0.03 in August 25 and 0.06 in January. Next test is in a couple of weeks time.

Discussion with the oncologist indicated that salvage radiotherapy was very likely based on the rate of PSA increase but there was an open discussion on the need for accompanying hormone therapy - i.e. quality of life over potential improvement in long term outcomes. 

Has anyone else been through this question of whether or not to take the HT as part of the SRT? I'd appreciate any experiences people may have had or any advice.

Thanks  

 

User
Posted 02 Apr 2026 at 13:48
Lots of guys on here have done both (with and without) the evidence on the optimal duration is still evolving.

Ultimately you will need to decide on the risks of either approach.

 
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