Orgovyx after prostatectomy + local radiation

[DrSalt]

How long should you take Orgovyx if you have a single gland metastasis in the pelvis after prostate surgery and after having received radiation treatment?

[Tall_Allen]

Did you have whole pelvic radiation or prostate-only?

[DrSalt in reply to Tall_Allen]

pelvic radiation yes

[dhccpa in reply to DrSalt]

Is your metastasis still there following radiation? And is it gone now? Sorry, I wasn't clear on that point.

[DrSalt in reply to dhccpa]

PSA after radiation (and before ADT) < 0,02

[DrSalt in reply to Tall_Allen]

first total prostatectomy. postop elavated PSA and a small pelvic lymfatic metastas was observed. Postop pelvic extern radiation (rotating linar accerator).

[Tall_Allen in reply to DrSalt]

You can't have more radiation in the same area. So your ADT is lifelong.

[9020B in reply to DrSalt]

How long ago was the radiation? Has your PSA been rising after radiation?

[DrSalt in reply to 9020B]

Exactly one year ago. Extra sensitive PSA = 0 has not been rising after radiation

[DrSalt in reply to 9020B]

PAD Gleason 8

[9020B in reply to DrSalt]

Optimal ADT duration should be determined by your doctor depending on your risk factors. I would hate to see you on lifetime ADT if it wasn't necessary.

[NecessarilySo]

I have not heard of PSA=0 before. Mine is <0.015, which they claim is the lowest possible measurement. Anyway, if yours is 0 then I would question the use of ADT. No PC should require no ADT imo.

[DrSalt in reply to NecessarilySo]

You are right. The correct answer is < 0,02.

[j-o-h-n]

Greetings Dr.Salt.

Please pepper us with your bio, all info is voluntary but it will help you as well as help us. Thank you!!!

Good Luck, Good Health and Good Humor.

j-o-h-n