PSA Reading...

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Regular Member

Date Joined Jul 2008
Total Posts : 29
   Posted 12/24/2008 2:51 PM (GMT -6)   
Just got back my third (and one year out) PSA.

The nurse relayed that it was "0.01" instead of "less than 0.01" as in the pat three tests.

Should I be concerned, or is that typical, and the infamous ultra-sensitive test anxiety?

Robotic RP 12/07
Age 46
Pre-surgical PSA 5.02
Bone scan/Chest X-ray clear
All margins, seminal vesicles, 17 lymphs clear
Three Post-surgical PSA's <0.01

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 12/24/2008 3:03 PM (GMT -6)   
Hi Jet!
Nope. No reason for concern. Another unecessary side effect of the Ultra sensitive tests. Enjoy the season, and don't sweat the tests!

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:

Tim G
Veteran Member

Date Joined Jul 2006
Total Posts : 2313
   Posted 12/24/2008 7:34 PM (GMT -6)   
To resurrect an old political word from Florida elections past, a PSA of 0.01 is nothing but 'chad'.  Enjoy the holidays and don't break a sweat over your PSA results...Tim

PSA quadrupled in 1 yr (0.6 to 2.5)  
DRE neg  1 of 12 biopsies pos (< 5%) 
Open surgery June 06 at age 57
Organ confined to one small area Gleason 5   
PSA's undetectable  < 0.1  

Veteran Member

Date Joined Jul 2008
Total Posts : 637
   Posted 12/24/2008 7:54 PM (GMT -6)   
You got an undetectable! enjoy the season....Diane
Husband Pete
dx Jan 2001 gleason 4 + 3 PSA 16.5
Seed implant and conformal radiation and Lupron from Jan 2001 to Jan2002
2005 Dec PSA began to rise from .5 to 8 within 6 months
Salvage surgery at MSK 9/06 Dr. Eastham
Fistula operation 2/07 MSK Dr. Wong
Many cystoscopies and ER visits with strictures
Catheter for one year....Catheter taken out Sept 07..
Total Incontinence since then....
PSA .52 3/08
AUS Operation at MSK Sept 8 2008 Dr. Sandhu
Activated Oct 28th Dr. Sandhu..MSK
Some difficulty with AUS arising Nov 10 2008
Meeting with Dr. Sandhu to discuss AUS problems and new PSA test Dec 11, 2008
PSA .6 12/08
Waiting to see if AUS gets better results
Complete hip replacement surgery coming up Jan 9, 2009

Regular Member

Date Joined Jul 2008
Total Posts : 29
   Posted 12/28/2008 11:35 AM (GMT -6)   
Thanks all...

I have an appointment this week with my surgeon to discuss the implications. I assume he'll order another one immediately to see if it was just background noise. I did read that with people having the RRP (as opposed to the traditional "open"), it is fairly common for "some benign" tissue to be left behind, which of course will generate PSA. I also read several testimonies of people having fluctuating readings over time with the 0.01 sensitivity testing for a myriad of reasons. My doctor's nurse said that the labs actually accidentally leave the < off the results sometimes not knowing the ensuing anxiety created.

We'll see......
Robotic RP 12/07
Age 46
Pre-surgical PSA 5.02
Bone scan/Chest X-ray clear
All margins, seminal vesicles, 17 lymphs clear
Three Post-surgical PSA's <0.01

Veteran Member

Date Joined Apr 2008
Total Posts : 1382
   Posted 12/28/2008 1:27 PM (GMT -6)   
thanks for renewing your membership in the zero club. Happy holidays.

peace and love
My PSA at diagnosis was 16.3
age 46 (current)
My gleason score from prostate was 4+5=9 and from the lymph nodes was 4+4=8
I had 44 IMRT's
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11
PSA July 24th, 2008 is 0.04
PSA Dec 16th, 2008 is .06
Testosterone keeps rising, the current number is 156, up from 57 in May
cancer in 4 of 6 cores

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 12/28/2008 2:29 PM (GMT -6)   
Glad to see you continuing your zero club.  You're still a big zero in our book....

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 Nerve sparing Open Retropubic Radical Prostatectomy
9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
16 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix .35ml 2X week continues
Post Surgery PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 1 Year-.02.

Regular Member

Date Joined May 2008
Total Posts : 260
   Posted 12/28/2008 2:36 PM (GMT -6)   


..congrats on the ongoing Zero's! 

   age: 53
   Pre-0p PSA  Feb. 08, 5.0
      4.22.08, 4.1
      PSA  spiked once about 8yrs ago to 5.0 three months later
      back to 2.9...then into the 1.2 range until my re-scheduled 
      "missed" appointment this past Feb.
      Biopsy 5.1.08 
      5 of 15 cores positive
      Da Vinci I read somewhere on this 
      site....."the first show of the day"
       DaVinci completed 7.29.08,
       Bladder Sling installed, umbilical hernia repair  
       completed during surgery.    
        Sent home 30hrs,  JP drain in place 7days,
       Path report "cancer fully contained"....Margins clear
        Cath removed 8.8.08(ten days) lightly used pad 24 hours
        ED therapy begins 8.9.08. 100mg viagra three times a week,
        pump everyday and hold for ten minutes.
        8.16.08 switched to Levitra 20mg.......whahoo, got lucky...
        immediate results..... 
        9.15.08 pad free at night, one thin (light) pad during the daytime
        hours. Just because I'm chicken..!
         9.18.08 1st post-0p-PSA-Undetectable...Zero's!  Yes!
         12.22.08 2nd post-op PSA-Zeros still...  
         .."just tryin' to reason with hurricane season"..

Regular Member

Date Joined Jun 2008
Total Posts : 407
   Posted 12/30/2008 9:55 AM (GMT -6)   
I had my 3-month post-op visit with my Urologist/Surgeon, including my second post-op PSA test.  The first post-op test showed 0.0 as did the second - so all seems well and I'm assuming it will be into the future.  I asked the Urologist about the results, and if they showed 0.001, 0.01, etc.  He told me that Northwestern University (which runs the hospital in Chicago and where I had the da Vinci procedure performed) does not report results beyond tenths, because, he said, such testing is statistically insignificant.

Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (getting better, though)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0


Regular Member

Date Joined Jul 2008
Total Posts : 29
   Posted 12/30/2008 4:42 PM (GMT -6)   
Just got back from my surgeon who said that he sees the labs leave the < symbol off "all the time", and that if not that, it's simple "background noise" and well within the range of error for several reasons. Given my lower pre-surgical PSA and pathology report (plus three <0.01 tests prior to this one) he wanted to re-test in six months. I bargained him down to three months to assuage my anxieties smilewinkgrin but he said even that was excessive and would not give in to my request to re-test immediately. It's been a tough month as I just lost my best friend at work to brain cancer. mad
Robotic RP 12/07
Age 46
Pre-surgical PSA 5.02
Bone scan/Chest X-ray clear
All margins, seminal vesicles, 17 lymphs clear
Three Post-surgical PSA's <0.01

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