I just got the same 6 mo. PSA .04 result and went through a terrible weekend of anxiety and fear. I emailed my surgeon and here is his response:
"With the current technology used in commercial PSA assays, it is very hard to measure PSA concentrations below 0.1 ng/ml. Therefore, anything less than 0.1 is the same as zero. Some assays provide results to two or three decimal places, but it is wishful thinking. In most instances, a PSA reading of 0.04 is essentially the same as zero."
Sure hope he is right! :)
42 yo. now
5/07 PSA 4.65 at routine physical
6/07 biopsy positive for cancer...Gleason 3+4...diagnosed at 41 y.o.
6/07-9/07 manic research and interviews with physicians across the country in search of the "right" decision. I went to Mass General in Boston, Loma Linda, University of Chicago and Northwestern.
9/17/07 - Radical Retropubic Prostatectomy Surgery at Northwestern Memorial in Chicago by Dr. William Catalona. Thankful the father of the PSA test was right here in Chicago.
Post op pathology was Gleason 3+4 with negative margins, no seminal vesicale involvement, no lymphatic or vascular invasion, bladder and urethral free and tumor volume was 5% of 27.3g.
9/27/07 - Catheter removal...let the games begin...
12/07 - Threw out the pads. I only had to use 1 pad per day for protection against minor drips.
I started Trimix 8 weeks after surgery with success.
I hope someday I won't need injections, but I hope more that my PSA stays at 0 forever.