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If it were me Howard (and I have been there), before I began treatment I would
(1) make certain I had cancer and (2) determine its location. The latter can be done in a number of ways, e. g., view the thread of Alan Dodge just below yours titled "Persistent psa." Consulting with various treatment specialists should certainly be a part of your research effort. You may also pick up an idea or two by reviewing my decision-making process as documented in my on-line journal; see: http://protondon.blogspot.com/ If you decide to take a look I suggest you begin with the following entry "To My Family, Friends and Cyberspace Buddies."
Thanks for the feedback. Very helpful. I will ask to be referred to the Carbon Cancer Center in Madison when I meet with my urologist on Monday. Given the rise in my PSA I believe his job is over and for the next stage I need a radiation oncologist. I need to make sure that it is cancer and not left over prostate tissue.
My situation was very similar to yours, although I did not have robotic surgery.
My PSA started going up 6 months after surgery. From my research I came to the conclusion that salvage radiation was better done sooner that later. I went to UCLA and I realized it is important to go where they have state of the art equipment and an experienced team. Because of the fast rise of my PSA it was
recommended that I also do 6 months of hormone therapy. The radiation was piece of cake. The hormone therapy was no fun. Now almost 5 years later my PSA is undetectable.