u/Grouchy_Session_6236

Having been on the other side of things for a few months, I know this subreddit is often filled with anxiety and concern for the future but there are good outcomes.

I was diagnosed with G9 prostate cancer in December and had RALP in March. My margins were negative but I did have focal EPE and SVI, so I was classified as stage T3b.

I had my first post op PSA yesterday and the results came in this morning: <0.04. Undetectable! There is hope for the future! Y'all got this!

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u/Grouchy_Session_6236 — 1 month ago

I'm 8 weeks post RALP. Pathology confirmed G9, focal EPE, and SVI, but no lymph node involvement and negative margins... so a mixed bag. First post-op PSA test is next week.

I'm obviously hoping for the best, but with a 30% chance of recurrence, I want to be well informed about salvage therapy should I need it. For those who have faced BCR:

  1. Is ADT always indicated, and
  2. Is SpaceOar still an option for protecting the colon from radiation therapy if there is no prostate (I can't find anything definitive online).
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u/Grouchy_Session_6236 — 1 month ago