Sex and PSA Testing Post-RP

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Kark60
Regular Member


Date Joined Jun 2008
Total Posts : 91
   Posted 7/15/2009 11:11 AM (GMT -6)   
Quick question... I have heard it recommended to not have sex prior to a PSA test. Does that same principle apply to those of use who had RP? It would make sense that this does NOT apply since we no longer have a prostate, should not have prostate cells, and thus should not see an increase in PSA if we have sex or even ride a bicycle on a bumpy road to get the blood draw.

What do you think??
Husband and father of two (current ages 5 and 7).
Age when diagnosed: 47 (currently 48)
Pre-surgery PSA: 13.7
Pre-surgery Gleason: 4+3=7
CT Scan, Bone Scan, PET Scan: Clear
Robotic Surgery on May 28, 2008, at Barnes Hospital in St. Louis.
Right nerve bundle spared; left bundle removed.
POST-SURGERY PATH REPORT:
Gleason: 4+3=7
Involved 10% of prostate; all quadrants involved
Extraprostatic extension at left base and apex
Extensive perineurual invasion present.
Bladder neck, lymphvasular space, seminal vesicles, 17 examined lymph nodes, and all surgical margins FREE of tumor.
T3a
Four-week post-surgical PSA = 0.1
Seven-week post-surgical PSA = .01
October 2008 PSA = 0.0
January 2009 PSA = 0.0
April 2009 PSA - 0.0
Next PSA scheduled for July 2009.


Galileo
Veteran Member


Date Joined Nov 2008
Total Posts : 697
   Posted 7/15/2009 11:30 AM (GMT -6)   
You're right. It doesn't apply any more. Ride bikes, make whoopee, whatever. There's no prostate to irritate after RP. Yippee! (It also makes DREs much easier, if they are needed).
Galileo

Dx Feb 2006, PSA 9 @age 43
RRP Apr 2006 - Gleason 3+4, T2c, NX MX, pos margins
PSA 5/06 <0.1, 8/06 0.2, 12/06 0.6, 1/07 0.7.
Salvage radiation (IMRT) total dose 70.2 Gy, Jan-Mar 2007@ age 44
PSA 6/07 0.1, 9/07 and thereafter <0.1
http://pcabefore50.blogspot.com


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 7/15/2009 12:25 PM (GMT -6)   
This has come up before although I couldn't find the thread. There is some uncertainty since there are some minor sex glands which can also produce small amounts of PSA. My personal rule is to take a day off unless she is very hot and it is your only chance. I have actually never had a chance to apply this since my wife's rule is take the day off period.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0


oldflyingfarmer
Regular Member


Date Joined Jun 2009
Total Posts : 32
   Posted 7/15/2009 2:04 PM (GMT -6)   
I am glad someone has asked this. I have been wondering the same thing. Although only 6 weeks after my RRP the question has crossed my mind.
Age 55
Diabetic on insulin pump
PSA started rising in 2007
2 negative biopsiesthru 2008
2009 PSA 31, TURP found Gleason 9 cancer
Started holistic approach while waiting for surgery
RRP on May 27, 2009
Cath out 2 weeks after surgery
Very little drip, some pain
Waiting for post-op doc visit July 16, 09 with fingers crossed


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 7/15/2009 7:25 PM (GMT -6)   
The previous thread had the suggestion of avoiding sex before the test to avoid stirring up any residual prostate cells. I have heard of surgery leaving bits of prostate behind, and assume they would continue to do the usual prostate thing -- producing small amounts of PSA.

With my last test being a little up, I will be an abstainer for at least two days before my next. Thinking about Geezer99's concerns: in the unlikely event that I meet a hot doll and this is my only chance, I will postpone the PSA test -- if I survive :-)
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.


StrictlyInc
Regular Member


Date Joined Dec 2006
Total Posts : 357
   Posted 7/15/2009 7:35 PM (GMT -6)   
geezer99 said...
I have actually never had a chance to apply this since my wife's rule is take the day off period.


We must be married to the same woman!
____________________

Prostate cancer diagnosed: May 15, 2006 (age 40)
Gleason score: pre-surgery 3+3=6; post-surgery 3+4=7
daVinci radical prostatectomy: July 25, 2006
size of tumor: approx 1.1 inches; negative margins from surgery

- number of pads/day at 3 months after surgery: 3 to 5
- number of pads/day at 4 months after surgery: 1 to 2
- number of pads/day at 6-18 months after surgery: 0 to 1

- 1st post-surgery PSA: 0 (Nov 2006); 2nd post-surgery PSA: 0 (Feb 2007); - 3rd post-surgery PSA: 0 (May 2007);
4th post-surgery PSA: 0 (June 2007); 5th post-surgery PSA: 0 (Dec 2007); 6th post-surgery PSA: 0 (June 2008)

The search for timber: took Viagra/Cialis approx. every other day, ErecAid once a day, injections. Peyronie's diagnosed 7/5/07. Now on daily Cialis, L-arginine and pentoxyfylline. Peyronies has stabilized and significantly reversed.

- PGE1 batting average: .364 (4 for 11)
- Bimix #3 batting average: .722 (13 for 18) Bimix #1 batting average (41 for 43) = .953
- Trimix batting average: .500 (1 for 2) Grand total 60 for 74 = .811

"Lost in the valley without my horses, no one can tell me what my remorse is..."


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 7/15/2009 7:40 PM (GMT -6)   
So what is the correct answer to the question? Should post surgery guys avoid sex a few days before a PSA test? A little confused by the answers on this one. I wondered the very same thing at my last one, and didn't have sex for 3 or 4 days ahead of time on purpose. Hate to think I missed out on some whoopee for no good reason!
Age 57, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
First PSA Post Surgery   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, they want to start radiation, 70 gray, I am still considering all options and opinions
 
 


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 7/15/2009 9:10 PM (GMT -6)   
I am a skeptic about the whole thing anyway. Google it. I found one study of 20 men that found some variances in PSA. Some returned to baseline within 6 hours. Overall, there were no specific percentages or anything.

Made good press release and scared a lot of men. If your prostate levels are high, most likely it is because you have a problem. I could see someone with a ,5 or something like that getting a slight fluxuation, but prostatitis, bike riding, hard bowel movement could possibly be blamed as well.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks due to anatomical issues with location of ureters with respect to bladder neck.  Try 3 tubes where no tubes are supposed to be for 2 weeks !
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
# mont PSA <.01 (different lab)


KeyWestPirate
Regular Member


Date Joined May 2009
Total Posts : 60
   Posted 7/16/2009 11:27 AM (GMT -6)   
WOW!  These posts just show how important sex is to us old guys.  I used to think you quit having sex when you were 50 or so  -when I was 20.  Glad I was wrong.
 
But, here we all are,  talking about the possibility of a hot woman  ("I would probably postpone my psa test . . . )  What is that saying,  hope springs eternal ?

Dirtmover
Regular Member


Date Joined Apr 2008
Total Posts : 158
   Posted 7/17/2009 1:06 PM (GMT -6)   
WOW WHAT A TOPIC .... MY LAST PSA TEST CAME BACK GOOD. I HAD SEX THE NIGHT BEFORE AND RODE MY HARLEY DOWN ( AN HOUR) TO GET THE TEST , MUST BE OKAY , IM MARRIED TO A SLIGHTLY DIFFERENT WOMAN , WHOM OCCASSIONALLY  GIVE ME  THE DAY OFF.............  (NOT BRAGGIN 1ST ONE IVE EVER RUN ACROSS ) FIGURED I BETTER KEEP HER  DOC SEEMS TO SAY THERE ARE NO WORRIES AS WELL , JUST MY INPUT .............DIRT shocked
Diagnosed November 2007   (43 years old )
PSA 3.9 / Gleason 6 / TC1 6 cores 1 shows 25%
Sugery scheduled 5/29/08 - City of Hope - Dr. Mark Kawachi
 "First show of the day"
 and now for the new ive been waiting for
 FINAL PATH REPORT:gleason upgraded to 3+4 T2c bilateral disease,tumor involvment 5%
extra prostatic extention:absent
seminal vesical invasion :absent
pathological staging:pTNM pT2 ORGAN CONFINED
margins free of carcinoma
usable erections ;6-6-08 with little blue pill
continence; 1 pad a day, dry at night
continence a non issue at 10weeks
 1 year p.s.a. undetectable

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