Two Year after Surgery PSA Results

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Regular Member

Date Joined Sep 2006
Total Posts : 234
   Posted 10/6/2008 7:27 PM (GMT -6)   
I had the DaVinci 10/12/06 Gleason 7 Stage T1 was told everything confined to prostate and looking good. First PSA after surgery was 0.01, then each three months for the first year 0.02, Then 1 1/2 years PSA 0.03 and now two years after surgery 0.04. The doctor said he doesn't care what it says as long as it is below 0.10. I don't like the fact it has gone up any at all and of course I wanted them to all be 0.00 or stay at 0.01. I know this shouldn't bug me but it does. I have been very blessed so far with this crummy disease. Loving wife supporting family and no other health issues or problems.  I was 57 at the time of surgery and am now 59 going on 19. Everyday is gift and so many on this forum have been and are inspirations and I am constantly reminded of it when I log in from time to time.  

Regular Member

Date Joined Aug 2007
Total Posts : 125
   Posted 10/7/2008 6:12 AM (GMT -6)   

I'm 15 months out now, and still < .1. Honestly I don't want to know what it is as long as it's below .1. I can say that this can be a very depressing disease. Before we all had it, life was real problems...then all of a sudden life changes. We need to try to go with the flow no matter how difficult. I agree that a loving wife and supporting family are very important. I am continually reminded by my surgeon and others that "at least I am alive". That is true, and I am thankful for that, but the quality of life has certainly been diminished. Without the people on this forum, I don't know how we would all make it. Thanks to everyone here!
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

Tim G
Veteran Member

Date Joined Jul 2006
Total Posts : 2358
   Posted 10/7/2008 11:35 AM (GMT -6)   
First, congratulations on achieving two years cancer free!  I understand how you feel about the numbers going up.  Knowing this would make me  anxious and fearful.
Urology experts say that <0.1 is 'noise'. I opted to have the standard PSA which measures to the nearest tenth only. 
My PSAs have all been undetectable at <0.1.  If the tests were run with the newer, ultrasensitive testing, would my results be 0.05? 0.008, 0.01? <0.001? Would they be rising, bouncing around, or falling?
Honestly, I don't want to know.  I can sleep better each night and worry less each day not knowing.  <0.1 is all I want to know when I get tested every 6 months.
I agree that prostate cancer reminds us that every day is a gift!
Age 59  PSA quadrupled in 1 yr (0.6 to 2.5) 
DRE neg  1 of 12 biopsies pos (< 5%) 
Open surgery June 2006 
Organ confined pT2a  Gleason 5   
Cancer-free for 2 years  PSA's undetectable 

Regular Member

Date Joined Oct 2008
Total Posts : 46
   Posted 10/7/2008 11:50 AM (GMT -6)   
I've been cancer free for two years now, but everytime I have my PSA checked, I get nervous waiting for results. In fact, that's the only time I really think about it. Last time, my regular doctor checked (instead of the urologist). It went from being less than .05 to less than .1. Scared me to death till I discovered that different labs use different systems for giving results.
I don't think any of this eases your mind, but I wanted you to know that you are not alone in your concerns.
Age: 43
RP: 9/06
Robotic, nerves spared
PSA: good (less than .05)
Currently dealing with RSD (nerve damage) in right arm, caused from breaking my wrist in spring 08 while trout fishing with son. Not related to ED, just general info about the year I'm having so far.

Regular Member

Date Joined Apr 2008
Total Posts : 270
   Posted 10/7/2008 1:27 PM (GMT -6)   
I am not clear on what your reading means from this standpoint - my first reading was <.04 and was told that was as low as the machine registered. I don't know if that is the case with where you were checked the last time or not. Unless you were checked purposely by a machine that purposely goes into lesser fractions it appears you do not have anything to worry about. I assume that is what the doc ment when he told you it was less then .1. Unless you are purposely going after the fractions with a measurement process that is capable you may be reading too much into your last report. Blessings.


Age 61
Original data - pre-operation
PSA: 5.1
T1C clinical diagnosis, Needle biopsy - 10 cores, Gleason 7 = 3+4 in 1 core (40%), 7 cores Gleason 6 = 3+3 ranging from 5% to 12%
All scans negative
Lupron administered 4/9/2008 for 4 months (with idea I would undergo external beam radiation followed by seed implants - then I changed my mind).
Robotic DiVinci surgery - Dr. Fagin (Austin) May 19th
Post operative - pathology
pT2c NX MX
Gleason 3+4
Margins - negative
Extraprostatic extension - negative
seminal vesicle invasion - uninvolved
1st Post PSA <.04

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 10/7/2008 1:56 PM (GMT -6)   
Some more good news...Good day on HealingWell!

I hope things remain good for you, and you are welcome to drop in anytime, especially with that kind of news!!!

See you soon!

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:

Regular Member

Date Joined Sep 2006
Total Posts : 234
   Posted 10/7/2008 10:13 PM (GMT -6)   
Tony, You are one of the people I was referring to as an inspiration. You are doing wonderful and a great thing by encouraging others, by sharing your knowledge, your story, and your experience. May God Bless You in special way. Thank you for being here, Raye
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