A question about post -op PSA's

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 8/14/2008 10:32 AM (GMT -7)   
I just had my first post-op psa and it came in at .04, which I thought was great but then I began to read where some of you have a post-op psa of .01 or even <.01.  I talked to the nurse for my urologist and she said that .04 was fine and not to worry it's exactly what they wanted. I don't have an actual appointment with my uro scheduled until my next psa test in September.
 
What exactly is considered undectable ? 
 
David
 54 y.o.
 Diagnosed 4/10/08
 DRE Normal
 PSA-4.1
 Biopsy- 12 cores, 4 positive highest 4+4=8
 Bone scan, CT scan and Chest X-ray clear 4/16/08
 Urologist suggested surgery 4/16/08
 MRI on 4/24/08 clear no suggestion of lymph node   involvement.
 4/24/08 -Started on Lupron and Casodex preparing for HBRT and IMRT in late July.  This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
6/25/08- Path report, clear margins, no noted extension
 


Ripandburn
Regular Member


Date Joined Aug 2007
Total Posts : 125
   Posted 8/14/2008 11:01 AM (GMT -7)   
David,

Everything I have seen, and been told is that anything below .1 is undetectable. Some surgeons, mine included, saw anything below .2. But, if it's over .1 I will be concerned for myself. What you have is .04 which is 4/100ths. .1 is 1/10th or 10/100ths. My surgeon would tell me .04 is excellent and not to worry.
52 years old
T1c 3+3=6
DaVinci July 16, 2007
largest cancer .2mm
Bladder Sling installed during prostate removal
nerve sparing with both nerve bundles intact
all cancer contained within prostate nothing near margins
11 weeks post-op - no more pads
4 PSA's all < .1 - Undetectable


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 8/14/2008 11:58 AM (GMT -7)   
Common standards say that anything under .1 is undetectable, therefore just machine noise, if you will.   I've had nothing but .04's (3 so far), and that's zero or undetectable, however you want to describe it, so there's nothing to worry about.  Relax, and congratulations on your zero/undetectable....

James C.
Co-Moderator- Prostate Cancer Forum

Age 61
4/19/07 PSA 7.6, referred to Urologist, recheck 6.7
7/11/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/24/07 (open) Retropubic Radical Prostatectomy performed
9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07 ED- begin 50mg Viagra and Vacurect pump nightly, Fully continent
1/14/08 Caverject started/stopped, aching. 2/24/08 .5ml Bimix started-success
7/31/08 ED- Viagra, pump continues, no response- Trimix .10ml x 2 weekly continues
Post Surgery PSA's:  3 mts-0, 6 mts.-0, 9 mts.-0.


jackcc
Regular Member


Date Joined May 2006
Total Posts : 80
   Posted 8/14/2008 12:46 PM (GMT -7)   
.04 is perfect. If the psa is .0something, you're doing fine. If the number after the . is not 0, you might be concerned. Don't worry about it now. .04 is really good.

dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 8/14/2008 1:20 PM (GMT -7)   

Thanx for the answers, I'm telling you this disease can really make you question anything that you are doing but the great thing about this site is it helps us have a forum to pass information around.

Whew !

David

 


 54 y.o.
 Diagnosed 4/10/08
 DRE Normal
 PSA-4.1
 Biopsy- 12 cores, 4 positive highest 4+4=8
 Bone scan, CT scan and Chest X-ray clear 4/16/08
 Urologist suggested surgery 4/16/08
 MRI on 4/24/08 clear no suggestion of lymph node   involvement.
 4/24/08 -Started on Lupron and Casodex preparing for HBRT and IMRT in late July.  This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
6/25/08- Path report, clear margins, no noted extension
 


dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 8/14/2008 3:29 PM (GMT -7)   
Here's an artcle I just found that explains the post-op psa reading pretty well.
 
 
David
 54 y.o.
 Diagnosed 4/10/08
 DRE Normal
 PSA-4.1
 Biopsy- 12 cores, 4 positive highest 4+4=8
 Bone scan, CT scan and Chest X-ray clear 4/16/08
 Urologist suggested surgery 4/16/08
 MRI on 4/24/08 clear no suggestion of lymph node   involvement.
 4/24/08 -Started on Lupron and Casodex preparing for HBRT and IMRT in late July.  This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
6/25/08- Path report, clear margins, no noted extension
 


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1131
   Posted 8/14/2008 5:08 PM (GMT -7)   
great posts. my first psa was >.04 and i read lots of articles on psa but it great to readr all the input here.
 
Age 48
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
decision - surgery (robotic)
surgery may 9, 2008 - houston, tx
pathology report -gleason 8
margins clear
4 week and 6 week PSA >.04 (undetectible)
12 week PSA <.04
continent at 10 weeks (no pads!)
kegel's twice a day 20 reps


aus
Regular Member


Date Joined Sep 2006
Total Posts : 211
   Posted 8/14/2008 6:27 PM (GMT -7)   

The definition of "undetectable" depends on the institution and lab:

Some use the criteria of .05, and in some instances they do not supply any figures below that, their report will just  say  "below .05" or "undetectable". 

Others use a higher figure.

New Topic Post Reply Printable Version
Forum Information
Currently it is Thursday, February 22, 2018 2:08 PM (GMT -7)
There are a total of 2,932,132 posts in 321,711 threads.
View Active Threads


Who's Online
This forum has 160415 registered members. Please welcome our newest member, anxious934.
389 Guest(s), 12 Registered Member(s) are currently online.  Details
rocketphd, readingmom, Girlie, kloz31, BillyBob@388, lifelieswaiting, TxBart, ucff, Fairwind, ShinytopPC, sandman2, iPoop