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In September 2013, following my radical prostatectomy in July 2013, my PSA was 0.17. When this increased to 0.38 by November 2013, given that my Pca was Gleason 9 and one of my lymph nodes was positive my oncologist stated that I probably had metastatic Pca and that I should start hormone therapy. Following my first zoladex implant in November 2013 my PSA became undetectable. At this time my oncologist wouldn't agree to radiotherapy so I paid for a second opinion from a consultant urology oncologist with a national reputation. In response to my query about radiotherapy she said in cases like mine there is no right and wrong answer but that she would probably recommend radiotherapy. The oncologist at the hospital where I was being treated still didn't agree so I obtained a third opinion from a Urology professor at a hospital with an world wide reputation. He unequivocally said he would recommend radiotherapy. Consequently I transferred my care to this hospital and received 33 cycles of radiotherapy there in July and August 2014. My PSA was still undetectable at my most recent PSA test in May 2018 and I have no regrets about pursuing my treatment options. My story ( LN ) can be found on this website - I would be happy to help if I can.