Prostate cancer
Biochemical recurrence after radical prostatectomy

Didier (61 years old)

Didier is a dedicated law clerk of 61 years old who is in generally good shape. He underwent RP for localised PCa 2.5 years ago: pT2a, pathological ISUP grade group 2 [Gleason score 3+4], positive surgical margins. Didier’s PSA remained undetectable until 3 months ago.

Recent diagnostic work-up

  • PSA: 0.3 ng/ml (1st measurable PSA 3 months ago: 0.2 ng/ml)
  • PSA doubling time: 5 months
  • PSMA PET imaging: no sign of local or nodal relapse

No relevant comorbidities or medication.

Which of the following options do you consider most appropriate for this patient?