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Pam: I can only tell you what course of action that was recommended to me under the same circumstances. Three years to the month after RP my PSA began to rise, what I would consider ever so slightly after 3 months from .007 to .011. The surgeon I have been dealing with strongly recommended IMRT and after consulting with a radiation oncologist, I decided to go ahead and have the 39 sessions done. The oncologist is Hopkins trained and had a very convincing arguement why, but once again, time will tell if it was the right decision. Many times I question myself "what if" as there are some drawbacks to radiation therapy. One of the main considerations was the 9 Gleason before the surgery.
I read this site every day and have never seen any wrong information but in the final analysis, it's what you feel comfortable with after seeking all the info you can digest.
Thanks Jack as you say, you just have to digest the information and try to come to the right decision for yourself - I suppose it,s just hard making that choice.
