I understand the frustration of undergoing surgery and then being told it may not have been enough.
Yes, you are correct. Radiation is a reasonable option if the prostatectomy failed to achieve an undetectable PSA post-operatively. There is not clear guide when exactly to undergo the treatment, but most doctors would advise it before the PSA hits 2, as the outcomes are better with these lower values.
Discuss the possibility of metastatic disease, as this may also lead to a persistent PSA. You may need to retrieve all your original tests when you see the radiation doctor, so a review as to the odds that this may represent metastatic disease can be done.
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