Larry,
the surgeon did remove only one nerve but this means that there is probably benign tissue left which will produce the PSA now.
However, with a Gleason 9 there is a very high probability for a recurrence. I read over 90%. Even if both nerves were removed. Since you mention ADT,
here is a study presented at the ASCO conference this year which shows great success for high risk patients when ADT is started shortly after RP. An earlier report about
this study
is this article. Ten years after the RP 87% of these high risk patients were alive and from the remaining 13% only 2,3% died of prostate cancer. However, according to another study you have to start right now after the RP with ADT, the benefit is smaller if you wait. I would not use CAB today, 18 months of Degarelix will probably have the same effect.
Lupron vs DegarelixThe objective of the study was to test Mitoxantrone but the result of the control arm is interesting today. So ADT can be an alternative to radiation.
George
VIEW IMAGEPost Edited (George_) : 10/6/2017 6:09:19 AM (GMT-6)