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Regular Member

Date Joined Feb 2007
Total Posts : 122
   Posted 8/14/2009 7:12 AM (GMT -6)   
Went to the urologist on the 12th number went up .05 from .21 to .26
Dr said not a large increase but an increase he said we wil keep an eye on it check again in 6 months, with this number he felt  nothing to warrant anything at this time
50 years old
gleason 3+4=7 psa5.8 clinical stageT3a
Da vinci surgery April10 2007 Mayo clinic Rochester, Mn.
extraprostatic extension Gleason -same
pelvic lymph nodes -negative
Catheter out April 19
psa aug 2007 0.28
37 treatments IMRT ended 10/26/07
psa Jan 29 2008 0.10
psa april 30 0.14
psa aug 21, 0.16
psa dec 17 o8 , 0.16

Veteran Member

Date Joined Jul 2008
Total Posts : 966
   Posted 8/14/2009 7:33 AM (GMT -6)   
Looks like the PSA is back to where it was before the SRT....hmmmm.....granted it seems fairly slow moving increments upward, but never the less it is moving upward. Follow it closely as your doc suggests....But....getting in touch with an oncologist might be in order. It sounds like the progression is going to go beyond what your urologist should be handling. But that is just my opinion.
You are beating back cancer, so hold your head up with dignity
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 Apr 2009 .06
                   9 month Jul  2009 .08

Elite Member

Date Joined Oct 2008
Total Posts : 25355
   Posted 8/14/2009 8:18 AM (GMT -6)   
hello mgl, sorry to hear the news and your numbers. appears your surgery and salvage radiation didnt do the whole trick. i agree too, time to get a great oncologist on board. waiting 6 months to watch that number increase without a game plan wouldnt do it for me. please keep us posted.

david in sc
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
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, corrective laser surgery scheduled for 8/18,
meeting with Rad. Oncl on 8/14 about lastest PSA

Veteran Member

Date Joined May 2009
Total Posts : 2691
   Posted 8/14/2009 8:23 AM (GMT -6)   
I wouldn't wait more than 3 months if it was me.
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
3 month PSA <.01 (different lab)

John T
Veteran Member

Date Joined Nov 2008
Total Posts : 4171
   Posted 8/14/2009 10:52 AM (GMT -6)   
good advice from Les, David and Goodlife. time for a good prostate oncologist to review all your stats.


64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DX BPH and continue to get biopsies yearly. Positive Biopsy in 10-08, 2 cores of 25, G6 less than 5%. Scheduled Surgery as recommended.

2nd Opinion from Dr Sholtz, an Oncologist said DX wrong, path shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G 4+3 approx 2.5cm diameter.

Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and burining urination. Daily activities resumed day after implants.

Scheduled for 5 weeks IMRT in July


Regular Member

Date Joined Jun 2008
Total Posts : 407
   Posted 8/14/2009 10:56 AM (GMT -6)   
My suggestion is for you to review the matter, and your medical history with your primary care physician and to make a decision together - with your specialist - as to the future course of action.  None of us knows your situation and it's important to keep your entire medical team involved as you move forward.  Best wishes for improvement.

Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (1/2 light pads per day)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0; 12/08: 0.0; 4/09: 0.0


Veteran Member

Date Joined Apr 2008
Total Posts : 1382
   Posted 8/16/2009 5:38 PM (GMT -6)   
I agree with all the people who have responded. The increase may seem minimal but it is an increase. Watch it closely and keep us posted.

peace and love
My PSA at diagnosis was 16.3
age 47 (current)

My gleason score from prostate was 4+5=9 and from the lymph nodes (3 positive) was 4+4=8
I had 44 IMRT's
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11

PSA July 24th, 2008 is 0.04
PSA Dec 16th, 2008 is .016
PSA Mar 30th, 2009 is .02
PSA July 28th 2009 is .01

Testosterone keeps rising, the current number is 156, up from 57 in May

T level dropped to 37 Mar 30th, 2009
cancer in 4 of 6 cores

Veteran Member

Date Joined Jun 2007
Total Posts : 784
   Posted 8/16/2009 6:57 PM (GMT -6)   
we are in a similar situation, the salvage radiation seems to have no effect on my PSA and has risen from 0.5 to 0.6, small rise sure but is a rise, my Oncologist thinks that the cells sending the signal escaped the prostate area before I had the RP, I think this is logical, looking at my post op PSA which was 0.5, and my post radiation PSA which was 0.4, which subsequently after 3 months went back to 0.5, my Oncologist does not want to see me for 12 months, and My Urologist want's to see me in Jan. next year, they don't seem too worried about the rise.I am thinking about asking my GP for a test in 3 months, instead of waiting 6 months.
It might be a good idea to see an Oncologist for an opinion.

All the best. Mal.
age 67 PSA 5.8 DRE slightly firm Rt
Biopsy 2nd July 07 5 out of 12 positive
Gleason 3+4=7 right side tumour adenocarcinoma stage T2a
RP on 30th July,

Post op Pathology, tumour stage T3a 4+3=7, microcsopic evidence of capsular penetration, seminal vessels, bladder neck,are free of tumour, lymph nodes clear, no evidence of metastatic malignancy, tumour does not extend to the apical margins.

Post op PSA 0.5 26th Sept.
PSA 23rd Oct.0.5 seeing Radiation Onocologist 31st Oct.
Started radiation treatment on 5th Dec, to continue until 24 Jan. 08.
Finished treatment, next PSA on 30th April.
PSA 30th April 0.4
PSA 30th July 0.5
PSA 27th Oct 0.4 (I am now 68)
PSA 11th March 09 0.5
PSA 3rd Augiust 09 0.6

Post Edited (maldugs) : 8/17/2009 3:39:36 AM (GMT-6)

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 8/16/2009 8:08 PM (GMT -6)   
Always nice to see you again. Your case has me puzzled a bit but I know you can do very well. I can't argue with your doctor on this. Your PSA rises are very slow. But I would take caution to long term intervals between PSA tests. i don't like the 6 month thing. But your history says it is very slow and you should be fine. I hope you are well and staying positive. You know how I am about that.

 Age 47 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (May 11, 2009): <0.1
My Journal is at Tony's Blog  

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