Three Year PSA 0.05 Good News????

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Regular Member

Date Joined Sep 2006
Total Posts : 234
   Posted 10/10/2009 6:44 PM (GMT -6)   
Well yes I suppose it is and I am thankful, I feel great and am not sick. I am now 60 years old and it has been three years since my DaVinci surgery October 12, 2006. I am thankful all bodily functions are working pretty well. Impotance is not a big problem I can have intercourse without a pump or any pills or injections but with encouragement and  loving help from a beautiful wonderful wife. :-)   Incontinence has never been a problem peeing works perfectly no runs no drips I can pee at will. So why am I bothered? They were supposed to cut this sucker out and I would be totally cured and I would live happily ever after. Well dang it, the PSA is suppossed to stay the same or go down right? mad My PSA is as follows
pre Surgery PSA 4.0  Gleason 7
10/2006   right after suregery PSA 0.01
10/2007   1 year later 0.02
10/2008   2 years later 0.04
10/2009   3 years later 0.05
This is the first time the lab has sent the results ro me and it says "This is a Hybritech 3rd Generation (Ultrasesitive) equimolar Tonal PSA performed on a Beckman DXi with a clinical sensitivity of 0.008 ng/mL.  PSA results determined with adifferent manufactures assays can vary." 
So what does all that mean? I know one day at a time every day is a blessing etc. but I'm still bothered with the 0.05 since it is an increase. I can't help asking myself what if questions like, what is my prognosis, how long will I live, am I going to die from this stupid disease? Why don't they just say it is undectable until they feel it really is detectable? What the frick is ultrasensitive tests anyway? I don't think I would stress about it as much if they just said undetectable.  The doctor told me after the surgery he didn't care what the PSA was until it reached 1.0 and then we would talk. So anyway this is good news it is only 0.05. Great forum Healing Well most everyone of my surgery mates from three years ago  are no longer posting any updates so I have no idea how they are doing.

Post Edited (56pontiac) : 10/10/2009 5:49:32 PM (GMT-6)

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 10/10/2009 7:14 PM (GMT -6)   
Pontiac, you are doing great. Your current reading is still a "zero". You are a victim of ultrasensative testing, and your feelings are exactly why a lot of doctors don't like to use them. Causes a lot of needless anxiety. For 3 years out, you are in fine shape, celebrate.

david in sc
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl.agree to start radiation, mapping on 9/21/9, 9/24 - mtg with uro/surg, 9/29- pre-op, 10/1 - 3rd corr. surgery - suprapubic cath/hard dialation, 10/5 - first treatment IMRT.

Veteran Member

Date Joined Feb 2008
Total Posts : 655
   Posted 10/10/2009 7:22 PM (GMT -6)   
Greetings, Pontiac.  From what I understand there are so many variables from when they took the blood, how they took the blood, if you had any unusual activities in the preceding 24 hours, the calibration of the machine and on and on.  That is why my doc says he doesn't use the ultrasensitive and anything under .1 is zero.  You are well under that reading.  You are doing great and when I reach 3 years post op and have the same result I'll be doing back flips!  Congratulations.  David
Diagnosed Dec 2007 during annual routine physical at age 55
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 pos; 2 marginal
Gleason 3+3; upgraded to 4+3 post surgery
RRP 4 Feb 08; both nerves spared
Good pathology - no margins - all encapsulated
Catheter out Feb 13 - pad free Feb 16
PSA every 90 days - ZERO's everytime!
Great wife and family who take very good care of me

Veteran Member

Date Joined Apr 2009
Total Posts : 990
   Posted 10/10/2009 7:57 PM (GMT -6)   
If you look at the nomograms you will see that three post-surgery years below .1 is where your odds (which were always pretty good) start to rise. With only three data points no statistician would even call your PSA as rising. Worry about heart attack or getting hit by a truck because there is little chance that PC will get you.
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 - now light pads

Veteran Member

Date Joined Apr 2008
Total Posts : 831
   Posted 10/11/2009 1:47 PM (GMT -6)   
If you had be getting normal PSA they would have been all the same.  Undetectable.  Even Johns Hopkins does not use the ultra sensitive.  Quit using it.....There is no benefit to it.  None...If your PSA ever gets to .2 the regular test would show it...
Dx 42
Gleason 6 (tertiary score 0)
OPEN RP 10/08  Johns Hopkins
pT2 Organ confined Gleason 6
PSA Undetectable

Veteran Member

Date Joined Jul 2009
Total Posts : 1267
   Posted 10/11/2009 2:01 PM (GMT -6)   
Hello 56pontiac. you ask:

"I can't help asking myself what if questions like, what is my prognosis, how long will I live, am I going to die from this stupid disease?"

I think the brutal fact is that if you die of cancer, it isn't going to be this one. I suspect your friends, who have not had the surgery, are at far far greater risk of dying of prostate cancer than you are --- and they aren't sweating it, so neither should you.

You're like the guy I rode beside on a plane a few years ago. We were taking off, there was a huge 'bump' of some sort, I sat bolt up right, and he put his hand on my arm and said, don't worry. I can guarantee you're safe. He was so calm and assured I immediately relaxed (I was a frequent flyer in those days and didn't easly panic anyways.) Afterwards I said to him, how can you guarantee I'm safe? Because you're with me, he said. So? I asked. Well, he replied, do you remember the Air Canada flight that went in off the end of the runway in Toronto a few years ago and people were killed? I said I did. So ??? I was on that flight, he said. I lead a charmed life now. What are the chances of one passenger being in two fatal air accidents on a major carrier?

Like that guy, after three years with the results you have, you're living a charmed life. Go enjoy!

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  0.02
Oct 1st 09 -- dry at night, during day some stress issues, but better every week.    

Veteran Member

Date Joined Sep 2008
Total Posts : 744
   Posted 10/11/2009 3:42 PM (GMT -6)   
I don't think Catalona uses the ultra sensitive test either.
Honestly, what is the benefit of it??

New Member

Date Joined Oct 2009
Total Posts : 1
   Posted 10/11/2009 4:02 PM (GMT -6)   
Watch very carefully, remember you do not have a Prostate to manufacture PSA, so where is this PSA coming from? Perhaps this is is a question you can ask your Specialist, I would not rely on GP's answer.

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 10/11/2009 6:36 PM (GMT -6)   
Hey Ray,
Congrats. Still too low to worry about it. Just keep on keepin' on is all you need to worry about. How's the band comin'? I didn't see any new dates on your website...

 Age 47 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Gleason 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  

Regular Member

Date Joined Sep 2006
Total Posts : 234
   Posted 10/11/2009 7:31 PM (GMT -6)   
Hey There Tony! Thanks for the post got a couple gigs coming click the link below.  Our other web site nobody (ie: me) is smart enough to make it work. Anyway one day at a time everyday is a blessing.

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 10/11/2009 8:22 PM (GMT -6)   
Peter isn't usually very fast at responding to stuff, so it may be a few days before he replies to you posts.  He will get to it eventually.  He's a busy guy with a very large Forum here, plus his everyday life, so be patient.
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
24 mts: PSA's: .04 each test since surgery, Bimix .3ml PRN or Trimix .15ml PRN

Veteran Member

Date Joined Aug 2007
Total Posts : 1015
   Posted 10/11/2009 11:18 PM (GMT -6)   
Hi Ray,

It sounds to me that you are doing fine.

By the way, I love your 56Pontiac "handle." I owned a 1959 Pontiac Catalina, which was the same body that they built the original "batmobile" on for the original Batman TV series.

I have met Adam West (the TV Batman) personally and he is a great guy. He lives three hours from us in Sun Valley, Idaho.

I wish you continued "zeros!" tongue

All the best,

Surgery: Da Vinci; July 31, 2007; 54 on surgery day;
Pathology: PSA: 4.3; Gleason: 3+3=6; T2a; Confined to Prostate;
Post RP PSAs: 09/07 <0.04; 12/07 <0.04; 03/08 <0.04;
06/08 <0.04; 12/08 <0.04; 06/09 = 0.06 (hmmm...);
Latest PSA 09/09 <0.04 (back to undetectable)

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