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Jpouch prostate cancer treatment

First time posting to a forum, would appreciate crowd sourcing some assistance.

57 year old male.  1995, after 12 years of ulcerative colitis  - 1 stage total colectomy w jpouch, 28 years no complications. 2021 laparoscopic radical prostatectomy for stage 4 prostate cancer, some complications due to adhesions but all good with jpouch….

June 2022 PSA count has increased from 0.003 to 0.014.  Radiation is not an option.  Any recommendation for Medical Oncologist that have experience with treating  cancer returning after prostatectomy surgery  and a jpouch?   Chemo/hormone or immunology treatments?  

Thank you1

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