Which additional tests are indicated for PSA recurrence after radical prostatectomy?
Biopsy of the prostate bed, ultrasound of the prostatic region, and DRE are not required to diagnose local recurrence after radical prostatectomy if the PSA level is low (<2.0 ng/mL). Requesting a bone scan is not necessary for asymptomatic patients with PSA recurrence after radical prostatectomy and PSA <20 ng/mL. Given its low sensitivity for detecting local recurrence in patients with PSA recurrence after radical prostatectomy, CT scan of the lower abdomen is not recommended. MRI is not recommended for detecting local recurrence. 5.1.3 What is the optimal treatment of patients with PSA recurrence after radical prostatectomy? External radiotherapy may be considered for patients with PSA recurrence after radical prostatectomy suspected of having local recurrence, provided that the PSA value is <1.0 ng/mL. Hormone therapy is not recommended for the treatment of PSA recurrence. 5.2.1 How is PSA recurrence diagnosed after external radiotherapy? PSA dynamics after external beam radiation
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