Anyone know a good Uro in the Bay Area who uses the "standard' PSA test?

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CaPCa
Regular Member


Date Joined Aug 2007
Total Posts : 118
   Posted 10/22/2008 1:29 PM (GMT -7)   
I've posted on this before, since I have decided to switch to a lab or doc that uses the "standard" PSA test which results in a report of "<0.1" when "undetectable. Thanks for any suggestions on docs who you know that use this type of test.
Age:45 (44 when diagnosed)
Father diagnosed and cured at age 52.
08/21/07: Diagnosed with T1c cancer
1 of 12 biopsy cores positive; 10% tissue
Gleason score: 3+3=6
PSA level prior to biopsy: 4.3 (velocity < 0.4ng/ml)
10/19/07: da Vinci prostatectomy by Dr. Vipul Patel
              Difficult surgery due to prostate inflammation.
              Both nerve bundles spared.
              Spongy erections began within 24hrs of surgery!
10/24/07: Catheter out; down to 1 Serenity pad/day next day.
              Final pathology: neg margins, no capsular penetration,
              Gleason 3+3=6, 5% tumor involvement, multi-focal.
11/04/07  First usable erection with Cialis
11/22/07  Thanksgiving - Bye-bye, pads
01/17/08  First post-surgery PSA result: < 0.008 ng/ml
03/17/08  Erection quality mostly back to pre-surgery levels with Cialis;
              have not tried without meds yet.
04/23/08  Second post-surgery PSA result: < 0.008 ng/ml
07/30/08  Third PSA: 0.01 ng/ml
 


Tim G
Veteran Member


Date Joined Jul 2006
Total Posts : 2268
   Posted 10/22/2008 9:12 PM (GMT -7)   
I think all you have to do is ask the urologist to do order a standard PSA vs. the ultra-sensitive.  The standard PSA is a common prostate cancer screening test available in any moderate-sized lab.  The reporting is to the nearest tenth. That's what I have done, and my urologist has used three different labs since my first post-op PSA.     
Age 59  PSA quadrupled in 1 yr (0.6 to 2.5) 
DRE neg  1 of 12 biopsies pos (< 5%) 
Open surgery June 06 Organ confined pT2a  Gleason 5   
Cancer-free for 2 years  PSA's undetectable  

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