Saddened to hear the news of the apparent rise in your PSA. As others have suggested, I would definitely ask for the more sensitive test. 0.1 could be anywhere from 0.5 to 1.5.. The sensitive tests let you better monitor the progression if any. I have just finished SRT after a BCR and am now back in the "0" club. I did not experience any significant discomfort during the SRT treatments.
So, get the more sensitive test and discuss with your doctor about
how best to monitor the situation. SRT is effective for a local reccurrence... And if indeed your psa continues to rise to a BCR, your numbers/patholgy tend to support a local reccurrence... indicated from a positive margin/pathology where postop your psa did drop to undetectable for awhile and then slowly rise... You can look at my numbers and progression and see where I was very glad I had the more highly sensitive tests.
Remember, no matter what your psa does next, you still have options to beat the PCa beast...
After 3-4 years of annual PSA 4-6, biopsy recommended
3/13/2007 - 12 point biopsy - Left 0/6 Right 1/6 Gleason 3+3 T1c
4/24/2007 - DaVinci performed at Virginia Mason hospital in Seattle
5/2/2007 - Catheter Out! Final pathology of Gleason 6 T2c Nx Mx, approx 20% of prostate involved, positive margin, but only at 2 focal points.
6/28/2007 9 weeks incontinance... Overnite, went from 4-6 soaked pads a day from prev 8 weeks to 2 barely wet pads a day.
7/12/2007 11 weeks post-op Minimal leakage... one small pad a day
7/18/2007 First Post-Op PSA... 0.01 !!!
9/10/2007 Pad free and ED at 75% with 100mg Viagra generic
6/26/2008 2nd Post-OP PSA at 14 months... 0.02
12/2/2008 3rd Post-OP PSA at 20 months... 0.03
10/30/2009 4th Post-OP PSA at 31 months... 0.13 (moved and diff lab)
11/3/2009 Retest at my original lab... 0.11 (followup with Doc sched 11/10)
11/10/2009 Discussion indicated biochemical reccurrence and need for salvage radiation treatment.
1/21/2010 Another PSA test at 34 months... 0.14
1/26/2010 IMRT Salvage Radiation Treatment started
32 sessions for 64 gys total.
3/12/2010 Finished 32 sessions... No side effects to date except a little
tiredness. Slight changes in bowel movements the last week...
4/8/2010 Some rectal prostitis, but no change in urgency. No urinary effects at all. Now just waiting for the upcoming PSA test in June.
6/7/2010 First 3 month PSA result after SRT = 0.02 WAHOO! as good as could ever be expected at the 3 month mark! Thank You Jesus!