PSA test frequency after RP

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reachout
Veteran Member


Date Joined May 2009
Total Posts : 725
   Posted 7/30/2010 11:14 AM (GMT -6)   
I'm 9 months out from RP and have had 4 PSA tests, all zeros. I'm now 3 months from my last test, so I'm due for another test if I go every 3 months. My urologist said I should have one every 3 to 6 months. At the time I told him I would like to test every 3 months for peace of mind, but now I'm thinking I may suffer PSA anxiety. I note Dr Catalona on his web site recommends every 6 months for 15 years. Is there an agreed upon standard for test frequency, and how often do you guys get tested?
PSA history:

May 2005 2.7

Mar 2006 3.2
10 May 2007 4.1
24 May 2007 2.9
20 Jun 2007 3.3
Sep 2007 2.6
Jul 2008 3.8
May 2009 5.6, followed by biopsy (age 64)

8 out of 12 cores positive Gleason 3+4=7 Stage T2a
Da Vinci Surgery 08/07/2009
PathologyuUpgrade to Gleason 4+3=7 Stage pT2c
Neg Margins and Nodes
Extracapsular extension noted but neg Extraprostatic Extention (??)
Dry immediately
Daily Cialis 5mg slow recovery
First PSA Nov 2009 <0.1
Second PSA Feb 2010 0.01
Third PSA Apr 2010 <.014
Fourth PSA May 2010 <0.1

Still dry but pills for ED don't work well

Starting trimix July 10


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2458
   Posted 7/30/2010 12:22 PM (GMT -6)   
Reachout,
I had PSA test every 3 months for the first 15 months. MY doctor put me on a 6 months schedule. I guess it all depends on what your tests are revealing. If there is any increase in my PSA I'll probably go back to 3 months intervals.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm in circumference.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 5 months
2 months PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1
8 months PSA test 10/9/09 result <0.1
11 months PSA test 1/21/10 result 0.004
14 months PSA test 4/19/10 result 0.005


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 7/30/2010 12:27 PM (GMT -6)   
Three month schedule first year...second year was every six months.
You are beating back cancer, so hold your head up with dignity
 
Les
 
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
                 12 month Oct 2009     .09 
                 18 month April 2010   .19


LenB
Regular Member


Date Joined Jul 2009
Total Posts : 102
   Posted 7/30/2010 1:11 PM (GMT -6)   
My Doc want one every 3 months for the first year then every 4 months for the second year. After that every 6 months until four years then once a year.

Age: 65
DX: 7/10/09
Gleason: 7
Biopsey: 2 chips with some cancer cells out of 30.
Robotic Surgery: 9/10/09
Cath out: 9/23/09
1st post op PSA: 10/20/09 <0.1
2nd post op PSA:  1/25/10 <0.1
3rd post op PSA  4/19/10 <0.1
4th post op PSA  7/19/10 <0.1
As of 7/30/10 Still Wet 2 pads per 24 hr. period

tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2842
   Posted 7/30/2010 1:17 PM (GMT -6)   
My doctor had my first PSA 6 months post-op - and then the next one 6 months later - (see signature)... so, don't know if after Oct if still in zero club I graduate to 1 year interval or keep at 6 months due to stage3a?
-and I expect a regular routine of testing for the rest of my life ....

wishing you all the best
BRONSON
.................
Age: 54 - gay - with common-law spouse of 13 years, Steve - 60
PSA: 04/2007- 1.68 - 08/2009 - 3.46 - 10/2009 - 3.86
Confirmation of Prostate Cancer: October 16, 2009 - 6 of 12 cancerous samples , Gleason 7 (4+3)
Doctor: Dr. Mohamed Elharram -Urologist / Surgeon - Peterborough Regional Health Centre
Radical Prostatectomy Operation: November 18, 2009 , home - November 21, 2009
Post Surgery Biopsy: pT3a- gleason 7 - extraprostatic extension - perineural invasion - prostate weight - 34.1gm -
ED Prescription: Jan 8/2010 - started daily 5mg cialis - girth back to normal -but not much length - will go for trimix in April when I see doc
Incontinence: Feb 2010- 3-5 pads/1-2 clothes changes/day- March 3, 2010 - week 14 after surgery -finally seeing improvement - March 29- incontinence better - 1-2 pads a day - one pad at night - May 25 - 1 pad during day - 1 pad at night for security (barely needed at all) - stress incontinence at work - lifting trees and shrubs...
location: Peteborough, Ontario, Canada
Post Surgery-PSA: - April 8, 2010 - 0.05 - I am in the ZERO CLUB - hooorah!
Next PSA - October 8, 2010 - TBA -
............

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 7/30/2010 2:10 PM (GMT -6)   
My PSA was pretty high at diagnosis. I had a PSA at 6 weeks and every 3 months after that until last week - my one year anniversary. Since I have been a member of the <0.01 club for the past 6 months he changed the PSA test frequency to every 6 months. (I have a signed request for a PSA at 3 months if I cannot stand the wait. - My goal is to not use it.)
Jeff
Married 34 years, DX Age 56. First routine PSA test on April 8, 09: 17.8. Start 2 weeks of Cipro to rule out protatitis. May '09 PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, 20%-70%, Gleason 3+4=7, 3+3=6. Bone and C/T scans neg.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next See Uro 1/22/10 Trimix #1. Try 0.08- 25%, 0.12-25%, 2/26/10 try 0.16 First Success! 90%.
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day. Try controlling fluids.
12/11/09 5 months: 3 pads per day, 400-450ml/day
02/26/10 7 months: 3 pads but leak is now 320 ml (5 day avg.)
03/22/10 8 months: 3 pads per day, 280 ml/day (5 day avg.) PT says all muscles are tight and working properly. "There must be another issue."
5/22/10 10 months: 2 pads per day, 190 ml/day Scope on June 15 "Short sphincter"
7/15/2010 one year: 2 pads per day. 140 ml/day, dry in bed.
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04, 1/14 6 months - 0.05,
4/14 9 months - 0.04 (Siemens Centaur) and <0.01 (Roche ECLIA).
7/12 1 year - 0.03 (Siemens Centaur, direct chemilum); <0.01 (Roche Cobas 601 ECLIA)

goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 7/30/2010 2:37 PM (GMT -6)   
It depends on you, the PC, your doctor, and your insurance.

Your pathology suggests that you may be ok for 6 month intervals after the first year. But if you are like me, the curiosity might kill me before the PC does.
Goodlife
 
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01
1 year psa (364 days) .01
15 month PSA <.01

reachout
Veteran Member


Date Joined May 2009
Total Posts : 725
   Posted 7/30/2010 2:53 PM (GMT -6)   
Thanks for the responses. I think I will go with my last 3 month test then go to 6 months, assuming I'm still in the zero club.
PSA history:

May 2005 2.7

Mar 2006 3.2
10 May 2007 4.1
24 May 2007 2.9
20 Jun 2007 3.3
Sep 2007 2.6
Jul 2008 3.8
May 2009 5.6, followed by biopsy (age 64)

8 out of 12 cores positive Gleason 3+4=7 Stage T2a
Da Vinci Surgery 08/07/2009
PathologyuUpgrade to Gleason 4+3=7 Stage pT2c
Neg Margins and Nodes
Extracapsular extension noted but neg Extraprostatic Extention (??)
Dry immediately
Daily Cialis 5mg slow recovery
First PSA Nov 2009 <0.1
Second PSA Feb 2010 0.01
Third PSA Apr 2010 <.014
Fourth PSA May 2010 <0.1

Still dry but pills for ED don't work well

Starting trimix July 10
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