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Best Treatment Options for Recurrence After Surgery for Prostate Cancer?

My husband had a radical prostatectomy 1 and 1/2 years ago. His PSA has doubled 3 times in the past 6 months. We’ve been advised to wait another 3 months and follow up with radiation. I read and the side effects are sounding so scary. He’s been through so much already. Wondering what experiences you’d be willing to share regarding radiation and its effects or if your PSA climbed how you treated it. Thank you.

  1. Hi Heidi. Sorry to hear about your husband's recurrence. Please know that many men here have been there and come out the other side. In fact, two of our contributors, Len Smith (https://prostatecancer.net/community-advocates/len-smith/) and Dennis Golden (https://prostatecancer.net/community-advocates/dennis-golden/), had recurrences. Both had radiation and Lupron therapy and have had undetectable PSA ever since.

    Is there a reason your husband's doctor wants to wait three months before taking further action? I ask because if the decision has been made that action is necessary waiting only seems to increase the possibility of further cancer spread. In addition, are any tests plan to check on whether the cancer is contained to the prostate bed area?

    Hopefully others will chime in with their experiences and please don't hesitate to keep us posted or ask further questions. Wishing both of you the best. Richard (ProstateCancer.net Team)

    1. I couldn’t go in and ask anything because of covid. I plan on calling. I think he was in shock and didn’t know what to say. This is the third time in 7 months it’s gone up. Now they want to wait til Oct for the Axium scan.

      1. Hi Heidi. I'm all for an Axumin scan or what is know as a PSMA scan for detecting any metastatic cancer. In fact, I wrote this article about Axumin: https://prostatecancer.net/clinical/axumin-early-detection/ and this article on the PSMA test (it is harder to get): https://prostatecancer.net/clinical/psma-imaging-scan/. Maybe your husband can get onto a wait list for any openings due to cancellations. Please feel free to keep us posted on how things are going. Best, Richard (ProstateCancer.net Team)

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