PSA Tests after Surgery

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Regular Member

Date Joined Sep 2008
Total Posts : 72
   Posted 9/28/2010 9:17 PM (GMT -6)   
Before surgery when you are going to have a PSA test, you are told not to have sex or self sex, DRE, etc as it might mess up the test results. I know after you have had your prostate removed, infection can raise PSA scores. Does sexual activity still affect it? Any info out there? Like things not to do before a PSA after surgery?

Veteran Member

Date Joined Jul 2010
Total Posts : 3596
   Posted 9/28/2010 9:24 PM (GMT -6)   
There is nothing you can do physically to change "undetectable" (your goal) to detectable.

Theoretically, you have no prostate tissue so you should have no PSA reading..Infection? no, not any more...You are either cured or you are not...
Age 68.
PSA at age 55: 3.5, DRE negative. Advice, "Keep an eye on it".
PSA at age 58: 4.5
PSA at age 61: 5.2
PSA at age 64: 7.5, DRE "Abnormal"
PSA at age 65: 8.5, DRE " normal", biopsy, 12 core, negative...
PSA age 66 9.0 DRE "normal", 2ed biopsy, negative, BPH, Proscar
PSA at age 67 4.5 DRE "normal"
PSA at age 68 7.0 third biopsy positive, 4 out of 12, G-6,7, 9
RRP performed Sept 3 2010

Veteran Member

Date Joined Jun 2008
Total Posts : 1804
   Posted 9/29/2010 4:56 AM (GMT -6)   
Califguy, from what I understand the taboo about sex, etc. before a PSA applies when you have a prostate. Once the gland is removed, there is no gland to stimulate so, in theory, what you do prior to your post-op PSA tests should have no effect on the reading.

Regular Member

Date Joined Jun 2010
Total Posts : 416
   Posted 9/29/2010 5:55 AM (GMT -6)   
My uro has treated thousands. Not once did he mentioned that i should alter my behavior before, or after, as it relates to psa test.

As the others note, I dont think there is anything you can do to 'create' psa.

Also, I wouldnt get myself overly fixated on that 1st after-surgery psa result.

Yes, we all want less than 0, but as I understand it, there are two (at least) other factors to consider:

1) "Although present in large amounts in prostatic tissue and semen, it has been detected in other body fluids and tissues":

2) Even if your result showed a trace of psa, often it can be that the doubling time of that number that is more important than the number itself. (Point being, if you can back with .01, and it remained that number for ever, you doing ok).

Everyone is different , no doubt. Wishing you the best.
First ever PSA test Jan 2010 @ 51 years old. 4.0.
Digital exam in March 2010 showed 1 side hard, other soft.
Biopsy, positive in 3 of 12.
Davinci @ Boston Medical Center, May 17, 2010.
Was suggested prior to it was likely contained.
June 1 advised 3+-4 was really 4+3 per pathology. Pos margins.
Listed on patholgy as PT3, but with extraprostatic extension,
microscopic invasion of the bladder neck, PT3A is perhaps the case.
Catheter removed June 1.. 1 pad/day, doing ok. ED, but not in rush.
Sore as heck down there, but doing much walking with my wife.
To meet with my Uri (1st meeting since) June 17 - 1 mo point, to discuss.
BMC already has me setup to meet with radiology.
Felling a little better each day. Cant tell if my expectancy just went from 10-15 down to 5-7, the information out there appears to be all over the place. I WILL NOT radiate my insides to the point of being a veg for the sake of a few years. QOL is primary to me. Selfish I guess. I pray for all of you as I do for myself, but must remember that i've had a pretty good 50+ years, and know others who have lost their children to disease.. so I dont have the nerve to complain! Update 7/14/2010: When I tried changing this sig a few days after creating it, system was broken. My new rad oncologist are discussing IMRT.. though he says he can see why waiting a bit and watching the PSA on super sensitive basis might make sense. I am leaning towards IMRT.. thinking is my body is pretty strong now, i'm 51, and if I can rid my body of this while trying to minimize the side effects.. I dunno. No really Good answers. When I said I didnt want radiation to the point of being a veg.. I really meant there is a limit as to where I wish to go in order to realize only a small increase in life expectancy.. and not that I am an unreasonable person. I do, after all, have an obligation to my wife and kids.
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