Introduction

[Title1guy]

Hello. 69 yr. old male from Northern California. See Bio for update on diagnosis and treatment to date. Glad to have joined this diverse and informative community.

[Tall_Allen]

Hopefully, salvage whole pelvic radiation will get the rest.

[Title1guy in reply to Tall_Allen]

Thanks, TA. I initially chose the RP over the RT based upon my reluctance to undergo ADT for any length of time. Perhaps that was a “swing and a miss” decision; but water under the bridge at this point. My RO and MO want to have an “initial discussion” about adjuvant radiation with ADT. I am surmising from your reply that you would advocate for the salvage vs. the adjuvant approach in my case; dependent upon the initial PSA and perhaps any initial subsequent readings hitting the accepted SOC limit to begin treatment, correct? I am also considering getting a referral, if necessary, from my surgeon at UC Davis to their RO department as they are considered a Center of Excellence; though my current RO and MO are experienced and appear to be well regarded. (I was referred to UC Davis as my current healthcare entity did not do that type of surgery.) I’m trying not to jump the gun with “what ifs” prior to the initial uPSA in June; but your and anyone’s thoughts are welcome. Thanks!

[Tall_Allen in reply to Title1guy]

I meant adjuvant, not salvage - thanks for correcting me.

prostatecancer.news/2021/10...

Whole pelvic radiation with 3 years of ADT and 2 years of abiraterone. But you can start ADT earlier to give time to heal from the surgery.

[petabyte in reply to Title1guy]

My diagnosis was similar and my coin fell the other way and I went with RT.

Some things I wish I had done before or with RT/ADT:

- Dexa scan to establish baseline, especially if you do long term ADT.

- Estrogen replacement therapy to mitigate bone loss ( I visited the Emergency room yesterday with a classic FOOSH fracture 🤬 often attributed to osteopenia)

- Testosterone test so you know what to aim for after ADT (I have no idea)

- Started Abiraterone earlier. I was not offered this and I brought it up later when I read about it. If you are going to try it, it may work better before starting RT.

You may want to read the recent post here on exercise as well. A few of us give anecdotes on our limited adverse effects on ADT with exercise.

healthunlocked.com/advanced...

Orgovyx was the best choice for me. If you haven't already, look into it.

[Don717]

Welcome! Guys in here are a wealth of information. Good luck to you!

[Title1guy in reply to Don717]

Thank you!