Hi Rose,
In reply to your question.....I had davinci surgery April 24 after a biopsy indicating that I had 12 of 24 probes containing adenocarcinoma a psa score of 4.62 and had a gleason score of 8. (High Grade). After surgery the pathology was even worse, gleason 9 (4+5), positive surgical margin and seminal vesicle involvement. I had my first post op psa test in early June which was .62 which came as no surprise to me or my surgeon. Another test about three weeks later indicated a psa of .59. I was referred to a radiation oncologist and also a medical oncologist for further consultation. It was decided that I would start on ADTherapy immediately (lupron) a shot every three months which would continue for two years and as soon as I was reasonably continent would start IMRT radiation treatments. I started IMRT on September 13 and had my next psa checked September 26 which resulted in a reading of .08. This was after three months of hormone therapy and just a few days of rad treatment. As of today I have had very few side effects from either rad or ht therapys. I do have hot flashes but they are what I consider to be minor and short lived. I apparently suffered no ill effects from the radiation treatments. I am scheduled for my next psa in early January and hope that it will be undetectable. I hope this dialog of my course of treatment will give you some guidance of what to expect and maybe what medical regimen to follow. JMHO.....jwb.