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I found a blog that I found interesting and I think it relates to your question.
I am attaching the link below. Go through the archives and start at the beginning. You will find him to be honest about what to expect.
http://pcabefore50.blogspot.com/
I just finished 40 radiation treatments after a failed robotic surgery. My oncologist also used ADT. There are two sets of side effects to watch: short term and long term. I experienced an irritable bowel (frequent diarrhea, frequent urination, fatigue, skin discomfort and depression. The long term effects may include continued bowel and urinary problems as well as a chance of radiation-induced cancer in previously healthy tissue. I think all things considered, radiation is better than doing nothing.
I just completed my fourth week of EBRT and to be truthful, I expected more side effects than I am experiencing. Second week in some diarrhea which was cured with an over-the-counter med, once in a while some slight irritation while urinating. The only thing I complained to the oncologist was being tired, however working 50-55 hours per week in not helping.
Had surgery 3 years ago and PSA started rising. I'd be happy to answer any questions you may have but looking at some of the replies, I think you've got it covered.
Good Luck with whatever decision/therapy you go with.
JoJo, forgot to mention that you should talk to your doctors/advisors about Cone Radiation (linear accellerator) that has minimal effect on surrounding organs such as bladder, rectum, etc. Reports on this relatively new technique are slow coming in but logically, sparing those organs of the radiation makes sense. That's the route I took after talking to many.
Re: Re: radiation therapy post surgery for rising psa
Not mentioned so far is Hormone Treatment. I have been on Intermittent Casopdex treatment far the last seven years after failed surgery. Little to no side effects.
If you are interested in more details, feel free to contact me.