1st post op PSA

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Dave's Wife
New Member

Date Joined Feb 2008
Total Posts : 8
   Posted 4/2/2008 5:55 PM (GMT -6)   
My husband had his first PSA yesterday, exactly 60 days after robotic prostatectomy in NYC, the reading was 0.06, is this anything to be concerned about?  I only got a verbal report from receptionist and a copy of the lab report, have yet to hear from surgeon.  Any input would be appreciated.
Age: 53
DX: 12/07
Robotic Prostatectomy: NYC 2/1/08
Gleeson Stage 8
Perineural Spread
Seminal Vessicle Spread
Pre-Operations PSA:  2.68 (True - not a typo)
8 out of 10 biopsies positive for tumor

Veteran Member

Date Joined Aug 2007
Total Posts : 1015
   Posted 4/2/2008 7:37 PM (GMT -6)   
Hi Dave's Wife,
Not knowing the history, I'm not sure what to think exactly.  Of course, it would only be my opinion anyway. 
The difference in the reading could be within a lab's margin of error.  The lowest my lab reports is <.04 for all "undetectable" readings.  I know some folks on the forum get results of <.01, but my lab doesn't provide that level of resolution.
Hopefully the surgeon will provide insight very soon.  Don't be bashful about calling the doctor office and asking questions prior to your next appointment.
Kind regards,

Barry ~ (a.k.a. "Idaho")


Da Vinci Surgery July 31, 2007… 54 on surgery day
PSA 4.3  Gleason 3+3=6  T2a  Confined to Prostate

1st PSA  09/11/2007  <0.04 (undetectable)

2nd PSA 12/10/2007  <0.04

3rd PSA  03/17/2008  <0.04

My web site: http://pca-info.blogspot.com

Veteran Member

Date Joined Nov 2007
Total Posts : 598
   Posted 4/2/2008 9:49 PM (GMT -6)   
Sounds pretty darn good to me! Anything below .1 seems to be the magic number.
47 at Diagnosis.
Father died of Pca 4/07 at 86.
1/06 PSA 3.15
1/07 PSA 4.6      (Biopsy 3/07 just suspicious)
10/07 PSA 5.06   (Biopsy 11/07  1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC  www.roboticoncology.com
Saved both nerve bundles.
Path Report:  Stage T2cNxMx
-Gleason (3+3)6
-totally contained to prostate,
-10% involvement in L & R Mid lobes
PSA 0 at six weeks
Pad free on March 14 - (10 weeks.)
ED - Take 100mg viagra every night.
Totally usable erections at 10 weeks.

Veteran Member

Date Joined Nov 2006
Total Posts : 1464
   Posted 4/2/2008 10:21 PM (GMT -6)   
Under .1 is undetectable to my uro. Don't worry until the doc says its time. Sounds great to me...

Age 73. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06.  Dry on 12/14/06.
Pathological stage: T2C N0 MX. Gleason 3+4.
PSAs from  1/3/07 - 1/17/08 0.00. 
Next PSA test on 7/17/08
"Patience is essential, attitude is everything."

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