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I agree with others who have mentioned consulting a good medical oncologist. Based on your ID, if I am not mistaken, I might be able to recommend a few if your are from or around Mumbai.
I am in a similar situation you are in and our urologist, while he mentioned RP in passing, is much more inclined towards neo-adjuvant ADT + IMRT.
In your case, you must assume the condition's systemic and ADT must be administered irrespective of other modes of treatment.
Six months to two years of ADT and 66 Greys of radiation over 33 days seems to be the standard salvage treatment in North America. You don't need a very precise radiation treatment because only the general area where the prostate was, is getting radiated and they don't have a precise location to aim for. It is what I had five years ago at a large prostate cancer center and so far so good.
John,
I think you meant salvage not palliative. Salvage is done with curative intent too, after a prostatectomy, but is not the primary treatment. They use a little less for salvage because they only need to kill a few remaining cancer cells and not "cook" the whole prostate.
