How do you follow patients after prostate SBRT?

At Fox Chase, we follow our prostate SbRT patients the same way we follow all our prostate patients. Specifically, their first post-treatment visit is around 4 months with a PSA and testosterone prior to the visit. They are then seen every 6 months with labs. Typically we alternate our vists with th...

I agree with the sentiments above. I don't change my PSA surveillance approach after prostate SBRT. For those with slow declines, I discuss the multi-institutional study of ~1,700 SBRT patients noted median nadir PSA of 0.2 which took a median of 44 months to achieve (interquartile range 24-72 month...

Overall, I don’t change my follow-up procedures. The one change is that I often get a PSA at the end of radiation treatment, and I don’t do this for prostate SBRT. For standard or moderately hypofractionated EBRT, PSA drops in at about 70% of patients by the last week of therapy (personal experience...