Post Surgery PSA Test ?

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

SHU93
Regular Member


Date Joined Aug 2008
Total Posts : 328
   Posted 6/10/2009 1:20 PM (GMT -7)   
Just wondering for those of us who had prostate removed, when we do our follow-up PSA Tests,
do we need to follow the pre-test procedure as those with prosates of not having any sexual acitivty gving us a dry O...48 hours befor test...where it would elevate our PSA readings falsely.
 
I would imagine no, but just wanted to ask to make sure....
Age Dx 37, 7/2008
First PSA : 4.17 5/2008
Second PSA After 2 weeks of antibiotics : 3.9 6/2008
DRE: Negative 5/2008
Biopsy : 6 out 12 Postive all on right side, Gleason 7 (3+4).
Bone Scan/CAT Scan: Clear 7/2008
Cystoscope: Normal 7/2008
Prostate MRI: Normal 7/2008
Da Vinci Surgery 7/2008
PostOp: T2c (On Both sides), margins clear, seminal clear, nodes, clear. Gleason 6(3+3).
First PostOp PSA 9/2008: <0.01
2nd PSA 12/2008: <0.1 (Different Lab then 1st)
3rd PSA 3/2009: <0.1
 
 


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 6/10/2009 1:42 PM (GMT -7)   
After surgery you don't have a prostate to raise any readings with. Go ahead and enjoy life as normal. Your PSA test will be what it is, unlike when you had a prostate that could change the reading with sex or bicycle riding etc.
You are beating back cancer, so hold your head up with dignity
 
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009 .06
                   6 month April 2009 .06


Geebra
Regular Member


Date Joined May 2009
Total Posts : 476
   Posted 6/10/2009 3:18 PM (GMT -7)   
There were studies that show PSA is affected by sex, however, the extent of the effect was very marginal, so even prior to surgery you could have enjoyed it...

Previous 5 biopsies over 4 years negative

PSA going from 3.8 to 28

Father died from PCa @ 78 - normal PSA and DRE

Dx Nov 2007, age 46

PSA 29, Gleason 4+4=8

Decided to participate in clinical trial at Duke

6 rounds of chemo (Taxotere+Avastin)

1/8/2008

33.90

1/11/2008

29.50

1/31/2008

38.20

2/21/2008

32.00

3/13/2008

26.20

4/3/2008

26.60

4/24/2008

20.60

followed by RRP at Duke (Dr. Moul) on 6/16/2008

Gleason downgraded 4+3=7, T2c N0MX, one small positive margin

PSA undetectable for 8 months, then

2/6/2009

0.10

4/26/2009

0.17

5/22/2009

0.20


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 6/11/2009 1:43 AM (GMT -7)   
Greetings, everyone.  Prior to surgery, I didn't know enough about cause and effect so didn't do anything to purposely affect my PSA reading.  After surgery, I dont' think it really matters. David 

Age 55
Diagnosed Dec 2007 during annual routine physical
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 positive with 2 marginal
Gleason 3 + 3 = 6
RRP 4 Feb 08
Both nerves spared
Good pathology - no margins - all encapsulated - Gleason 4 + 3 = 7
Catheter out Feb 13 - wore pad for couple of days - pad free Feb 16
PSA every 90 days - ZERO's everytime!
Great wife and family who take very good care of me


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 6/12/2009 7:28 AM (GMT -7)   
I think I read someplace on the moronsareus.com website that the best thing to do was to abstain from sex for two days before the blood test and then to make up for it after the test by making love to three women at once. I tried this idea out on my wife and she asked if my urologist was good at setting broken bones ….

No, there is probably nothing you can do now to affect the PSA test, but do make choices that will keep you out of the emergency room.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3 + 4 = 7
CAT scan 1/09 negative, Bone scan 1/09 negative

Robotic surgery 03/03/09 Catheter Removed 03/08/09
Post surgical pathology report. Lymph nodes negative, Seminal vesicles negative
Surgical margins positive, Capsular penetration extensive Gleason 4 + 3 = 7
At 6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.


Pelahatchie
Regular Member


Date Joined Jul 2007
Total Posts : 86
   Posted 6/12/2009 1:03 PM (GMT -7)   
I would recommend no sexual activity for at least two days before any psa test, even after surgery.  After surgery, especially da vinci surgery, there is still prostate tissue left behind, especially if they are sparing the nerves and doing a good job of it. Vigorus sexual activity is going to impact your PSA reading, this I know from experience.   Ultra sensitive tests pick up the slightest deviations in PSA so why risk elevating it and set yourself up for a wall of worry, do the same thing before each test and use the same testing facility.  As was pointed out by an earlier poster, just make up for lost time after the test.  Good luck.

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


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 6/12/2009 4:07 PM (GMT -7)   
Post surgery, I've had three PSA tests now. I didn't think sexual activity would influence them so haven't kept any records, or taken any precautions. For my next test, I will make sure I abstain to see if that makes a difference.

Geezer, I like the three women idea, but I also don't like the idea of broken bones :-)
Pre-op:
Age 63 at diagnosis, now 64.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores.
Operation:
Non-nerve sparing RRP on 7 March 2008.
Two nights in hospital; catheter out after 7 days.
Post-op:
Continent; no pads needed from the get-go.
Pathology showed organ confined and negative margins. Gleason downgraded to 4+4=8.
PSAs:
6-week : <0.05
7-month: <0.05
13-month: 0.07 (start of a trend?)
ED:
After a learning curve, Bimix injections (0.2ml) are working well. VED also works but we find it inferior to Bimix.


mikey1955
Veteran Member


Date Joined Dec 2008
Total Posts : 672
   Posted 6/12/2009 4:57 PM (GMT -7)   
My doc said it shouldn't matter after (open) surgery since the prostate and supporting tissue is gone. Best of luck on your test!

Thanks geezer99, I spilled my coffee on my keyboard after reading your reply...good one!

Mike
Lower left groin hernia: mesh and large scar: surgery early 2006
Nov/Dec 07 and March 08 and now Dec 08: Severe perineal pain (between scrotum and rectum). Septra/Bactrim for 8 months (Nov 07-Jun 08) for diagnosed prostatitis.
PSA start of 2008: 5.3..... PSA June of 2008: 7.3
14 DRE all benign or nothing felt
TRUS Biopsy Nov 08: Got copy of pathology (see below). Prostate about 40 cm sq.
General Health: pretty good, 5' 10", 180 lbs, slim.
Bone scan Dec 08: Negative
Barium enema X-ray (March 09 due to several days of blood in stool)
MRI with endorectal coil (April 09 as part of a study)
3D advanced TRUS (April 09 as part of a study)
CT (April 09 as part of a study)
Biopsy Pathology: 5 of 8 cores positive, adenocarinoma in both lobes. 30%-65%. One core perineural invasion. 2 cores "foamy" and suspicious. All +ve cores, 3+3 GS 6.
Open RP surgery: May 5/09 Surgeon spoke to my wife and was very positive. Said both nerve bundles spared and not damaged. Bilateral lymph node dissection performed. Discharged 48 hours after surgery. Staples out, catheter out and pathology sheduled for May 21.
Post Surgery Pathology: pT3a N0 MX, extraprostatic extension (EPE), stage III prostate cancer, lymph nodes clear, seminal vesicles clear, Gleason upraded to 3+4 GS 7. EPE within surgical margins. Other than prostate and EPE, all tissue removed negative for cancer involvement.
Physical State: Getting back to working out slowly. Urinary control pretty much from the time of catheter removal. Rectal pain, sometimes bad but, told is normal. Erectile function at best 25-30% of presurgery. Trying Levitra...first 10 mG dose gave me nasal congestion, 50% chubby and a 24 hour headache...may go away with more use or change of meds. Considering pump. Recovery from surgery going very well.
Mental State: Pre-surgery anxiety gone. Positive attitude. Some anxiety about seeing radiation oncologist and upcoming 3 month PSA. 

New Topic Post Reply Printable Version
Forum Information
Currently it is Tuesday, February 20, 2018 12:14 PM (GMT -7)
There are a total of 2,931,285 posts in 321,618 threads.
View Active Threads


Who's Online
This forum has 160346 registered members. Please welcome our newest member, jowens521.
374 Guest(s), 17 Registered Member(s) are currently online.  Details
L.Botev, 81GyGuy, SusanneC, cycling_sasquatch, Scaredy Cat, Admin, BJD55, Serfr, Spanish, owleyes, quincy, garyi, OriolCarol, Supportive Daughter, Tall Allen, straydog, Tena believes