Reluctantly obliged to answer since I guess not many other people here may do.
I just can tell you about
one case I follow closely who needed radiation. More worrisome case, with double digit PSA at diagnosis, G9 and T3b. His doctors wanted to follow a non-surgery path, I guess ADT plus radiation, but he chose surgery. His first post surgery PSAs were around 0.10-0.15 and the surgeon wanted to wait a bit, but he jumped to have radiation with ADT just 4 months after surgery. As far as I know it was the standard 2 month SRT, but I do not know the technical details. He has been on ADT for at least one year. All this seems to me pretty standard.
However, maybe not all doctor here follow the same protocol, though I guess this is the case everywhere. A few radiation sessions and watch is certainty a weird recommendation. As it is often said here, we should be informed and eye
opened because some doctors are not as knowleged as they are supossed to be.
My surgeon follows the typical recommendation of do not doing anything before 0.2 but, according to what I read here, this is a common recommendation from surgeons elsewhere. Not idea of what he would recommend later; I guess I would jump to consult a RO earlier if I have the chance.
What it is true in Spain is that patients do not want to be so much informed as people in this forum are, this including well educated people in academics. They have blind faith in what their doctors say. The few forums about
PCa I found in Spanish are depressing because of their low quality. But, fortunately, this is not the case for most medical professionals whose average quality is good..
Not idea if there are more people from Spain reading this forum. This is a good chance to know. Local references are always very useful.
Post Edited (jmadrid) : 2/11/2019 5:16:30 AM (GMT-7)