Yes, please provide your stats following surgery. There are various nomograms online where you can plug in your numbers and get the probability of a recurrence x number of years after treatment. That being said, I doubt many would recommend taking action immediately unless your pathology was poor. Even if your PSA continues to rise to 0.1 and beyond, it will probably not do so very fast based on your history, giving you time to work on a salvage therapy. If your pathology was good, you may find that your likelihood for a recurrence could be very low.
I have been interested (obsessed?) with the ultrasensitive PSA test since my surgery. Some men are lucky and have a very low number that never fluctuates. Others have to deal with anxiety that goes along with fluctions that may only be noise. Due to my excellent pathology, I have decided to switch urologists and go forward with the "standard" PSA test with a minimum sensitivity of 0.1. This is also the general recommendation from Johns Hopkins. I have had a very small increase from <0.008 to 0.02 over about 18 months, which is probably insignificant, but I still find myself thinking about it. I know some will say that I will lose information about PSA velocity, but I cannot see how this would change my course of action in the event of an eventual recurrence.
Please provide your pathology statistics.
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
11/04/08 One year PSA: 0.01
Still taking 10mg Cialis every other day - enjoying the results
too much to stop yet.
02/07/09 Taking 5mg Cialis every other day - having too much fun to try
to stop for now.
03/23/09 PSA: 0.02