Post RP and Adjuvant RT recurrence

If you get to the HT stage I would also consider doubling down and asking for chemo too, lots of good evidence it's worthwhile to hit it as early as possible (checkout Dr Kwon on you tube).

Re diet I am a big fan of keto and intermittent fasting, if nothing else you will lose weight and as my urologist once told me the best way to lower risk in PC is don't carry ANY fat. Apparently it gives off hormones that just make everything worse.

They took very many lymph nodes out during surgery and there was no sign of cancer, so given the positive margin they decided to go big on the prostate bed is the best explanation I received, though it was probably like Colwick Chris an educated but ultimately wrong decision.

Diet is interesting if only to give me a sense of control over the uncontrollable I guess, which may be mentally beneficial.

Hi Tarkadahl, on my multiple trawl of the site again today I just discovered your thread.

Very similar picture to my husband - RALP July 2020 then adjuvant RT commenced October 2020. Like yourself he had an extended pelvic lymph node dissection too (all negative). His RT was to prostate bed only too.

Now has a PSA of 0.2 after being <0.1 for almost 4yrs. His oncologist requested a PSMA scan but the radiology department have rejected this on the basis that he’s had both surgery and RT. He awaits an MRI of pelvis.

 I am taken aback that they’ve refused to perform the PSMA scan given lymph nodes weren’t irradiated and we want to discuss the option of SABR. We don’t see Oncologist until December. 

Good luck, I will be keep my eye open for your updates.