Hi foges11, I have an appointment next week with Dr. Wee, a medical oncologist at Cleveland Clinic's main campus. My PSA was 2.0 six weeks after my RP surgery in March, however the PET scan I had last week was negative. I had also seen a radiation oncologist last week, and he said that if it weren't for the j-pouch he would have recommended full pelvic radiation. He says the cancer cells are microscopic and have not metastasized. More than likely, Dr. Wee is going to recommend Androgen deprivation therapy as a first step. I'll find out next week and will post what he recommends.