What a fun group and a question

I can only echo Groucho Marx, "I don't want to be a member of any club that would have someone like me for a member." Of course, I'm a member whether I like it or not.

I have my first post surgery PSA test Friday and a meeting with the doc on Monday.
I'm a tad apprehensive.

When diagnosed in January I had a PSA of 8.3.
Needle biopsy was positive 4/6 cores with one core at 90%.
Gleason as 3+4=7.

Tax season intervened. Since I was self-employed I could not shut down for half the tax season so I got a shot of Lupron to get me through the season with (hopefully) no progression.

Surgery was April 29, delayed a week so I could bury my father. (34 year prostate cancer survivor)
The most interesting(?) post surgery event was the catheter got hung up on a stitch and it couldn't be removed until the stitch dissolved a bit more. That took a couple of days and I took care of it at home.

What has me apprehensive is that the pathology report post surgery came back 3+4=7 with a tertiary 5 and I had one positive margin.

The lymph nodes where clear as were the seminal vesicles. Apparently age is in my favor; I'm 54.

The doc wants to talk about where we go from here and mentioned radiation. Oh boy.
Anyone have experience with a radical prostatectomy followed immediately by radiation?

Welcome STW,

Radiation following surgery is quite common when there is sufficient reason to be pro-active with the disease rather than wait until there is actual recurrence. It really depends on the protocols your urologist will follow. Some doctors will recommend adjunctive radiation if there is a high Gleason at pathology or even positive margins. Your teritary 5 means your particular gleason grade could respond more like a gleason 8 rather than a gleason 7 as there was some minor traces of gleason 5 cells found. Based on that and with positive margins I believe your doc is on target to consider some followup treatments rather than wait until later.

Radiation treatments are not benign, but well tolorated by most men. Let us know what you doc says.

Again welcome to Healingwell...where nobody wants to be, but if you have to be here, then this is the best place for information. Those that have had adjunctive radiation will chime in shortly.

Greetings, STW. Some people will do anything to try and get out of tax season. Welcome to the group that no one wants to be a part of it but here we are. I think you are wise to explore all the options. If I had been told I had any margins or lymph node or seminal vesical involvement, I would have been right there with you. There are lots of guys here who have gone down a similar path - you are in good company. Please keep us posted as to how things go. David