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Burgh
New Member


Date Joined May 2009
Total Posts : 8
   Posted 6/21/2009 10:58 AM (GMT -7)   
Is this something to act on with radiation, I am 5 years out following surgery. Why would this be up from 0.04?  Anyone have similiar PSA results.?

Age 55

Diagnosed May 2004 during annual physical
PSA moved from previous year from 1.7 to 3.0
Gleason 3 + 3 = 6
RRP July 2004
Both nerves spared
Good pathology - no margins - all encapsulated -
PSA since surgery  every 6 months, 0.04-0.06
PSA June 09- 0.08
Gleason 3 + 3 = 6


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 6/21/2009 6:49 PM (GMT -7)   
My PSA is up to 0.07 13 months after surgery and after a pair of <0.05s.

The usual guideline is that 0.2 is the point to take action, although some would also say 0.1. Radiation has side-effects that you want to avoid unless really necessary.

One isolated PSA rise may be just a lab blip. Even without a prostate, the body can still produce PSA. Who knows what might cause a natural blip there? Someone suggested recently that having sex before the PSA test can stir up any little bit of prostate remaining, so I will be an abstainer before my next test!

I will wait for a trend to develop, and I think a single isolated PSA blip by itself should not be a cause for alarm. Our levels of 0.07/0.08 are still below the limits that many doctors would regard as "detectable".
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.

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