Greetings! I'm new to the forum but certainly not new to prostate cancer.
I was diagnosed in November 2010 (PSA 5.0, Gleason 3+3) at the age of 52. In January 2011, I had my prostate removed and it came out cleanly—negative margins, no seminal vesicle or lymph node involvement, nothing. My Gleason was upgraded to 3+4, and one nerve bundle was removed.
On the whole, my side effects from the surgery have been minimal. I'm 98% "dry" in the incontinence department (a good sneeze or cough may have me leak a few drops) and, surprisingly, with one nerve bundle, I can achieve an erection that's in the 70%-90% range without any chemical or mechanical assistance.
My post-surgery PSAs were undetectable for 54 months when, in September 2015, my first detectable reading came back at 0.05 ng/ml. It bounced around a little (0.04 to 0.08 back to 0.05 in September 2016. After that, however, it steadily climbed to 0.10 in December 2017.
When I met with my urologist in December, he suggested we start thinking about salvage radiation therapy if my PSA continues to climb. He suggested we could start as early as my PSA being in the 0.15 range, but not later than it hitting 0.50. My next PSA test is in April.
I'm pretty familiar with the short-term side effects of salvage radiation therapy. I would love to hear from those of you who are 2 or 3 years out from your salvage radiation with respect to any long-term side effects that you're experiencing, especially with regards to incontinence, strictures, ED, and bowel control.
Thanks in advance!