HealingWell
Search Close Search
☰

PSA rise after RRP

Chronic Illness Forums
>
Prostate Cancer
✚ New Topic ✚ Reply
1 2 34
❬ ❬ Previous Thread |Next Thread ❭ ❭
Posted 10/11/2008 5:05 PM (GMT -7)
Hi Tony,

I've also enjoyed our little talk the other day. Hopefully you can make the trip next year to my part of the woods.

I hope that you will do very well for many years to come.

 

And Puget,

I sincerely hope that you will not need RT treatment next year, but if you do, I hope you live in part of the world where you'll have several choices as to which RT to select. Tony is a good man to consult in these matters.

All the best to you and hopefully the small increase in your PSA is just a little blip in the endless chain of zeros.

 

All the best to both of you.

 

Magaboo

Born Sept., 1936
PSA 7.9
Stage T1C
-ve DRE
Gleason's Score 3+4=7
2 of 8 positive
open RP 28 Nov 06
Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06
Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08

Next step: Salvage RT

Posted 10/11/2008 5:06 PM (GMT -7)

Puget,

That's a good plan. Being proactive is something I keyed in on. For my two cents worth, IMRT was painless and I had but a little fatigue. If you have to go there, it's rather uneventful. You'll do great!

Tony

Age 46 (44 when Dx)

Pre-op PSA was 19.8

Surgery on Feb 16, 2007 @ The City of Hope

Post-Op Pathology: Gleason 4+3=7, positive margins, Extra Prostatic Extension (EPE)

Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx

HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)

IMRT radiation for 38 Treatments ending August 3, '07

Current PSA (September 17 '08): <0.1 ~ Undetectable!

You can visit my Journey at:

Tony's Blog

Tony's Prostate Cancer InfoLink Page

STAY POSITIVE!

Post Edited (TC-LasVegas) : 10/11/2008 9:34:08 PM (GMT-6)

Posted 10/11/2008 7:46 PM (GMT -7)
Hi Magaboo, I wish you the best.

I am afraid I am heading in the same direction. When I saw my urologist three weeks ago, he mentioned that my last PSA (Sept 8) was 0.01 and everything looked very good. I asked whether it was <0.01 but I don’t remember getting an answer. I always request a copy of my test results. Last week I received them and it is actually =0.01. I am trying to e optimistic, but I can’t help thinking that it will keep rising. I started trying to find more information about treatment options and that’s how I found out about this forum.

Best of luck to all of us.

Frd
Age 45 (44 at the time of Dx),
Pre op PSA 4.48, 3/8 positive biopsy.
RRP at Royal Vic, April 30, ‘07.
Pathology: 3+4, pT2C, Tumor invades the prostatic apex, neg for extra prostatic extension, neg margins.
Post op PSA: 2, 7, 14 months PSA <0.01. Last PSA=0.01 (Sept 8, ‘08) .

Posted 10/11/2008 8:21 PM (GMT -7)
Thanks, Magaboo.  I'm thinking about you and all our friends here. 
Puget

61 years old (60 at surgery)

Dx March 2007

Pre-Surgery Gleason 3+3 = 6

Clinical Stage: T1c

Biopsy: 1 in 10 positive

Da Vinci: June 7, 2007 

Post-Surgery Gleason 3+3 = 6

   Clear at margins

First Post-PSA Sept 07 = <.01 (Hooray!!)

Second Post-PSA March 08 = 0.02

Third Post-PSA Sept 08 = .07 -- now watchful waiting

98% continent

ED seemed endless, but after 15 months definite improvement and almost normal with viagra, occasionally without

Posted 10/14/2008 12:03 PM (GMT -7)
Just a quick update for those that are following this post. I was MRI'd and tattooed today. No date jet for the start of the RT, but probably towards the end of Oct.
Born Sept., 1936
PSA 7.9
Stage T1C
-ve DRE
Gleason's Score 3+4=7
2 of 8 positive
open RP 28 Nov 06
Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06
Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08

Next step: Salvage RT

Posted 10/24/2008 4:48 PM (GMT -7)
 

Another quick update for those that are interested. I'll be starting my first of 33 salvage EBRT sessions on 31st Oct., 08.

Any helpful suggestions are, as always, appreciated.

 

Magaboo

Born Sept., 1936
PSA 7.9
Stage T1C
-ve DRE
Gleason's Score 3+4=7
2 of 8 positive
open RP 28 Nov 06
Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06
Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08

Next step: Salvage RT

Posted 10/30/2008 7:55 PM (GMT -7)
Good Evening all,
Magaboo, I just got my tattoo's Wed. of this week. My IGRT will start 11/17. I think they have a pretty good backlog of treatments where I will be going. My Doc said it would take 2 wks to get the plans in order. Keep this post going so we can keep up with everything and know what to expect! You have my prayers and well wishes also. Good luck with your 1st day.

David
Age 53
Pre-op PSA 4.3
Surgery Feb. 17 2005
Post-op Path : Gleason 3+3=6
Right pelvic lymph nodes: negative for metastatic carcinoma
Left pelvic lymph nodes: negative for metastatic carcinoma
extent: right lobe 40% left lobe 10%
capsular penetration: Absent
Seminal vesicles and vasa differentia: Uninvolved
Prostate: 26 grams
Post-op PSA's <0.04 for 3 years
Feb. 08: 0.07, March 08: 0.08, June 08: 0.09 and Sept. 08: 0.1
IGRT scheduled.....

Posted 10/30/2008 9:26 PM (GMT -7)
Hi,

 

dsmc, my starting date for my EBRT has been changed to 3rd of Nov. Not sure why, but got the call today.

I'll keep my fingers x'd for you on the 17th Nov.

All the best to you and everyone here at this forum.

Magaboo

Born Sept., 1936
PSA 7.9
Stage T1C
-ve DRE
Gleason's Score 3+4=7
2 of 8 positive
open RP 28 Nov 06
Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06
Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08

Next step: Salvage RT

Posted 10/30/2008 10:05 PM (GMT -7)
Hi Paul,
Thanks for the update. I was thinking about you this week and almost rang you again. Don't be surprised if you hear from me again soon. You too, have just passed your second anniversary as have I and wow, what a last couple years! We have a great club here, but the entry requirements suck! LOL. I have no regrets when I meet wonderful people and this site is no exception. Neither are you.

I'll talk to you again real soon!

David, same goes for you, too!

Tony
Age 46 (44 when Dx)

Pre-op PSA was 19.8

Surgery on Feb 16, 2007 @ The City of Hope

Post-Op Pathology: Gleason 4+3=7, positive margins, Extra Prostatic Extension (EPE)

Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx

HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)

IMRT radiation for 38 Treatments ending August 3, '07

Current PSA (September 17 '08): <0.1 ~ Undetectable!

You can visit my Journey at:

Tony's Blog

Tony's Prostate Cancer InfoLink Page

STAY POSITIVE!

Posted 10/31/2008 9:37 AM (GMT -7)
Hi Tony,

 

Thanks for your post. It's always nice to hear from you guys. As you can see in my last post, my RT is now scheduled to start on Monday, 3 Nov. and should be finished in the middle of Dec; just in time for X-Mas. So, I have one more weekend to ponder and worry about the outcome of this step in my journey. Since I really don't have any other choice, I'm anxious to get this over with and deal with the after effects as it becomes necessary. Anyway, hope all is well with you, David and everyone else on this forum.

 

Magaboo (Paul)

 

Born Sept., 1936
PSA 7.9
Stage T1C
-ve DRE
Gleason's Score 3+4=7
2 of 8 positive
open RP 28 Nov 06
Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06
Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08

Next step: Salvage RT

Posted 11/1/2008 4:40 AM (GMT -7)
Good luck to you, you have every reason to be optimistic about this treatment so be just that.

Age 45 at DX

DX 8/05 Gleason 5, Mayo clinic Second Opinion Gleason 6, PSA 2.8

Da Vinci surgery Dr. Dasari, Centennial Nashville 9/24/05

Pathology Report Gleason 6, 15 % on left side only very near to the edge of capsule, too close to call on margins, doc's said to watch it very closely, final decision T2A

PSA's have basically ranged from <.04 to .05 for two years.

no E.D. and no Incontinence, feel very blessed

PSA Nov 07 = .06

PSA Dec 10th 07 =.07

PSA Jan 4th 2008= .1

Started Guided IMRT on January 7th, 2008 to treat prostate bed and lymph nodes, completed on March 6th, 2008

PSA April 18th 2008 =.03

PSA August 18th 2008 = .01 or less, test only goes down to .01

Posted 11/12/2008 11:28 PM (GMT -7)

Hi to all that are still following this treat.

 

I now had 7 radiation sessions, out of 33 scheduled, behind me. The total number of grays that I'll receive is 66.

So far everything went quite smoothly and I have no side effects to date. The hardest part is having to drink 20oz of water before each treatment. My PSA, two days before the start of radiation, was 0.1. So, hopefully I've started this phase in my journey early enough.

 

All the best to all of you.

 

Magaboo

Born Sept., 1936
PSA 7.9
Stage T1C
-ve DRE
Gleason's Score 3+4=7
2 of 8 positive
open RP 28 Nov 06
Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06
Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08

Next step: Salvage RT

Posted 11/13/2008 12:08 AM (GMT -7)
Hi Paul,
I know you'll do just fine. You got there in plenty of time. Just keep driking the water, and remember to walk a bit. It does wonders.

Tony
Age 46 (44 when Dx)

Pre-op PSA was 19.8

Surgery on Feb 16, 2007 @ The City of Hope

Post-Op Pathology: Gleason 4+3=7, positive margins, Extra Prostatic Extension (EPE)

Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx

HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)

IMRT radiation for 38 Treatments ending August 3, '07

Current PSA (September 17 '08): <0.1 ~ Undetectable!

You can visit my Journey at:

Tony's Blog

Tony's Prostate Cancer InfoLink Page

STAY POSITIVE!

Posted 11/13/2008 11:22 AM (GMT -7)
Hi Tony,

 

Thanks for your kind words of encouragement. I will certainly follow your advise.

Hope you and everyone else is doing great.

 

Magaboo

Born Sept., 1936
PSA 7.9
Stage T1C
-ve DRE
Gleason's Score 3+4=7
2 of 8 positive
open RP 28 Nov 06
Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06
Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08; 3 days before Rad Start=0.1

Salvage RT stated 3rd Nov., 08 (33 sessions). Total Grays=66

Posted 11/13/2008 2:19 PM (GMT -7)
Hi Paul,
I had you on my mind today! I was on my way to work this morning and I wondered how you were doing as it had been several days since I had seen you around. I am glad you have it under way. I will start my treatments Monday. Keep us posted and I will do likewise. And a big old hello to you too Tony....

David
Age 53
Pre-op PSA 4.3
Surgery Feb. 17 2005
Post-op Path : Gleason 3+3=6
Right pelvic lymph nodes: negative for metastatic carcinoma
Left pelvic lymph nodes: negative for metastatic carcinoma
extent: right lobe 40% left lobe 10%
capsular penetration: Absent
Seminal vesicles and vasa differentia: Uninvolved
Prostate: 26 grams
Post-op PSA's <0.04 for 3 years
Feb. 08: 0.07, March 08: 0.08, June 08: 0.09 and Sept. 08: 0.1
IGRT scheduled.....November 17th....

Posted 11/13/2008 6:12 PM (GMT -7)
Hi David,

 

I'm sorry for not posting more than I did in the past few weeks, but the travel to and from the hospital every day, the procedure itself, worrying about possible side effects etc. didn't leave me much time and enthusiasm for posting. Hopefully, if all goes well, I'll get more involved with posting again in about a month or so. In the mean time I do a lot of lurking here :-) .

All the best to you with your next step in your journey.

Wishing you all the best.

 

Magaboo

Born Sept., 1936
PSA 7.9
Stage T1C
-ve DRE
Gleason's Score 3+4=7
2 of 8 positive
open RP 28 Nov 06
Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06
Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08; 3 days before Rad Start=0.1

Salvage RT stated 3rd Nov., 08 (33 sessions). Total Grays=66

Post Edited (Magaboo) : 11/14/2008 1:09:13 PM (GMT-7)

Posted 11/14/2008 11:01 AM (GMT -7)
Lurk away, sir, but keep those appointments. Let us know the results when you finish...
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
Present- 1 year: ED- Viagra, pump continues, no response- Trimix .10ml x 2 weekly continues
Post Surgery PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 1 Year-.02.

Posted 11/14/2008 11:07 AM (GMT -7)
Story is the same its the rise and fall of the PSA that differs 17 months out after Da Vinci a rise was found going from .1 to .2 within two months.
I chose to have Proton Radiation @ Loma Linda Medical Center in California as Radiation was the next best option in the Prostate Cancer chain of events as it were. Age seems to be an important factor in battling this slow? growing disease fifty somethings and below I have experienced along the way seem to have a more aggressive approach and as of last comments by some AMA seventy-fives are looked at as not needing anything ? Geesch!
its close to a Year after Radiation and My better half is questioning further PSA's what could they accomplish that they haven't already tried? well I do hope your group discussions IE Cancer Teem is successful in whatever therapy you decide.
<SPAN style="FONT-SIZE: 10pt">March Madness 54 </B><SPAN style="FONT-SIZE: 10pt"> 06' PSA 8 up from 3.2 14 months prior </FONT>

<SPAN style="FONT-SIZE: 8pt"><o:p></o:p></FONT>

<SPAN style="FONT-SIZE: 8pt"></o:p></FONT>

<SPAN style="FONT-SIZE: 8pt"></o:p></FONT>

<SPAN style="FONT-SIZE: 8pt"> </FONT>

<SPAN style="FONT-SIZE: 8pt">March 08' PSA .15

<SPAN style="FONT-SIZE: 8pt">( up Next)

<SPAN style="FONT-SIZE: 8pt">June 08'<o:p></o:p>

<SPAN style="FONT-SIZE: 8pt">June 08' PSA 0.09

<SPAN style="FONT-SIZE: 8pt">( up Next)

<SPAN style="FONT-SIZE: 8pt">Sept 08'<o:p></o:p>

Posted 11/17/2008 8:54 PM (GMT -7)
Hi Paul,
Well I got in the saddle today and had my first treatment. Boy getting all these bodily function to act on command is going to be a blast..lol....but it will be alright. I hope you are making it well up in the cold country. Hang in there. I will catch ya'll later
David
Age 53
Pre-op PSA 4.3
Surgery Feb. 17 2005
Post-op Path : Gleason 3+3=6
Right pelvic lymph nodes: negative for metastatic carcinoma
Left pelvic lymph nodes: negative for metastatic carcinoma
extent: right lobe 40% left lobe 10%
capsular penetration: Absent
Seminal vesicles and vasa differentia: Uninvolved
Prostate: 26 grams
Post-op PSA's <0.04 for 3 years
Feb. 08: 0.07, March 08: 0.08, June 08: 0.09 and Sept. 08: 0.1
IGRT scheduled.....November 17th....

Posted 11/17/2008 11:55 PM (GMT -7)
Hi David,

 

Glad to hear that you've had a good start in your latest journey. I know what you mean by the 'bodily function' thing. I'm a little over 2 weeks into my journey and I'm getting used to the routine. So far, so good. No side effects thus far, but I'm expecting for things to happen any day now.

All the best to you and stay in touch.

 

Magaboo

Born Sept., 1936
PSA 7.9
Stage T1C
-ve DRE
Gleason's Score 3+4=7
2 of 8 positive
open RP 28 Nov 06
Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06
Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08; 3 days before Rad Start=0.1

Salvage RT stated 3rd Nov., 08 (33 sessions). Total Grays=66

Posted 12/19/2008 10:51 PM (GMT -7)
Hi to all those still interested in my journey.

Today I finished my 33 days (66 Grays) of EBRT. Apart from some rectal pain with some bleeding, I had little in the way of side effects and felt pretty good during the ordeal. However, I'm glad it is done. Nothing else to do right now except to get my blood tested on the 19th Jan., and then see the Onc for the test result on the 26th Jan. Of course, I'm hoping for a good result.

David (dsmc): If I'm not mistaken, you should be just about finished with your procedure. Hope it is going well and that you're feeling ok.
Merry Christmas and a very healthy, happy and prosperous 2009 to all my friends here at this forum.

Magaboo
Born Sept 1936
PSA 7.9
Stage T1C
-ve DRE
Gleason's Score 3+4=7
2 of 8 positive
open RP 28 Nov 06
Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06
Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08; 3 days before Rad Start=0.1[/color]
Salvage RT completed (33 sessions - 66 Grays) on the 19th Dec., 08.

Posted 12/20/2008 7:28 AM (GMT -7)
Magaboo, thanks for the update.  Hope things keep improving for you.  Have a Merry Christmas

James C.         Age 61
Co-Moderator- Prostate Cancer Forum
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
16 mts: ED- Viagra, pump continues, no response- Trimix ..35ml x 2 weekly continues
Post Surgery PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 1 Year-.02.

Posted 12/20/2008 10:19 AM (GMT -7)
Hi Paul,
Congrats on your graduation. I'll keep you in our thoughts in January.

My best to you buddy!

Tony
Age 46 (44 when Dx)

Pre-op PSA was 19.8

Surgery on Feb 16, 2007 @ The City of Hope

Post-Op Pathology: Gleason 4+3=7, positive margins, Extra Prostatic Extension (EPE)

Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx

HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)

IMRT radiation for 38 Treatments ending August 3, '07

Current PSA (September 17 '08): <0.1 ~ Undetectable!

You can visit my Journey at:

Tony's Blog

Tony's Prostate Cancer InfoLink Page

STAY POSITIVE!

Posted 12/20/2008 10:39 AM (GMT -7)
Congrats!!! I hope you can use the holidays to rest up and celebrate!! Cheers to you and best wishes for a New Year filled with love, cheer and undetectable PSA's! All the best!
Father's Age 62 (now 63)
Original Gleason 3+4=7, Post-Op Gleason- 4+3=7,
DaVinci Surgery Aug 31, 2007
Focally Positive Right Margin, One positive node. T3a N1 M0.
Bone Scan/CT Negative (Sept. 10, 2007)
Oct. 17 PSA 0.07
Nov. 13 PSA 0.05
Casodex adm. Nov 07, Lupron beg. Dec 03, 2007 2 yrs
Radiation March 03-April 22, 2008- 8 weeks 5x a week
July 2, 08 PSA <.02
Oct. 10, 08 PSA <.02
Praying for a cured dad.

Co-Moderator Prostate Cancer Forum

Posted 12/20/2008 9:48 PM (GMT -7)
Hi Paul,
I am glad to hear you have finished with no major complications! I have completed 23 of my 38 with nothing but some burning with urination. I am scheduled to complete mine on 1/14/09. I do seem to be a little tired on some days but I have called off work until I am finished so that should help. I too will be thinking of you in January for a good report. I asked my Oncologist when I would get my first PSA test and he said 6 to 12 months. He said you could get false positives & negatives and he wanted to let things settle down before he tested. I think I will have to have one before that though. I wish you and yours a Merry Christmas and Happy New Year and that goes for everyone on the board! I will check back in soon.....


David
Age 53
Pre-op PSA 4.3
Surgery Feb. 17 2005
Post-op Path : Gleason 3+3=6
Right pelvic lymph nodes: negative for metastatic carcinoma
Left pelvic lymph nodes: negative for metastatic carcinoma
extent: right lobe 40% left lobe 10%
capsular penetration: Absent
Seminal vesicles and vasa differentia: Uninvolved
Prostate: 26 grams
Post-op PSA's <0.04 for 3 years
Feb. 08: 0.07, March 08: 0.08, June 08: 0.09 and Sept. 08: 0.1
IGRT scheduled.....November 17th....

✚ New Topic ✚ Reply
1234

Forum Information

Currently it is Wednesday, December 11, 2019 1:32 PM (GMT -7)
There are a total of 3,101,410 posts in 337,821 threads.
View Active Topics

Who's Online

This forum has 165427 registered members. Please welcome our newest member, Peter65Bart.
181 Guest(s), 10 Registered Member(s) are currently online.  Details
Deep_sleep, logoslidat, 10drum, Kent M., MG0351, dcd2103, ChristianWithLyme, BlueRidgeDave, saraeli, iPoop