My PSA had been in detectable since my RP, but results of my 5 year test showed it to be .11. I was surprised and a bit disappointed. I am going back for a follow up PSA in two weeks. I will know more about my situation and my options then. I realize I may need radiation or other treatment . . . just starting to think about how to get through that . . . can one continue to work? How bad is the fatigue? Is it painful?