PSA on the rise 9 years post-brachy

Hi All! Thanks for allowing me to join!

I’ll be 65 in November. I was diagnosed with G6 PC in 2014 and underwent brachy in January of ‘16. Because mine was G6, I was assured the brachy would “take care of it”.

Fast-forward to the past year, where my PSA has been steadily rising. Last week it was 1.49, as quoted by my local VA clinic. I had a PET scan a couple months back and the result was “no metastatic disease present”. My last visit to Urology, I mentioned a prostatectomy to my PA there and he advised that my surgeon doesn’t like to perform them post-radiation due to scar tissue and potential incontinence. He suggested hormone therapy, which my father-in-law had after his PC metasticized to his bones and organs. He was absolutely miserable in the time he had left.

I don’t mind admitting that I’m somewhat bitter that no one discussed any options in the event my PC returns. Had I known, I’d have undergone complete prostatectomy first, to (hopefully) eliminate it to begin with.

I’m scheduled for a rebiopsy on Monday.

My cousin, who is a surgeon (Urology) is practicing in South Carolina and wants to talk with me after the biopsy results are known.

I want to attack this thing with unbridled passion if it’s back… either remove the prostate (if localized) or proton beam therapy if possible. Any suggestions from those who’ve faced the same situation? I just know I don’t want to spend whatever time I have left, being miserable from hormone therapy like my father-in-law was.

Thanks for reading my “novella” 😄