A member asked:

I had a radical prostatectomy in july. gleason score 8, grade group 4, seminal vessel invasion. do i need radiation now?

3 doctors weighed in across 3 answers

Ask your Urologist: This is a very personalized situation and it is important to know your full history before making such an important and delicate decision. Have you talked with your Urologist about this? Are you seeking a second opinion? Either way, it is best to see a doctor to discuss your concerns in further detail for the sake of your health. Best wishes.

Answered 12/8/2018

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Can't answer: That is a decision you need to make with your urologist. There is more to it than a score/number.

Answered 12/8/2018

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See below : Given your description, you are at high risk of either currently having, or developing in the future, local or metastatic recurrence (pelvic lymph nodes most common initial site). If your post-RP PSA is 0.00, this is a good sign but does not guarantee cure. Rx options include Adjuvant radiation vs observation. Each has potential risks and benefits: a discussion for your urologist to aid decision.

Answered 12/9/2018

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