from what I've read since my diagnosis is that any psa rise of 20% in one year or .7 in one year should be monitored closely. If I had known this sooner I was a candidate for earlier referal to a urologist. My doc says that insurance companies are pushing against the issue of earlier screenings without an abnormal DRE. My psa had to go over 2.3 for my age to get the referal.
from some of the cases on this forum, why wouldn't anyone get an initial psa test as early as the doc will allow?
PSA 01/07 was 1.2, PSA 01/08 was 1.9, PSA 01/09 was 2.5.
BIOPSY 02/24/09, adenocarcinoma DX at age 52
Right:GS 3+3=6, tumor 3/6 cores, 10% involvement,PNI-Yes
Left: GS 3+3=6, tumor 1/7 cores, <5% involvement,PNI-No
LARP 04/09/09,nerve sparing. Final pathology:
GS 3+4=7, Margins uninvolved, 2 lymph nodes negative.
Catheter removed on 04/17. First no-pad day was 05/03.
ED treatment is 25 mg Viagra nightly.
First followup PSA results on 05/28/09: <0.1,undetectable!