The other question I have is what is considered detectable PSA ? Many oncologists use.2, some use .5 as trigger points. Is this their level of "detectable", or do they use a much lower number.
With the ultrasensitive testing now, we can elect to do radiation at .05 or some very low number which is considered undetectable by most. That is my current plan, and is a QOL thing for me. As soon as I see an upward trend, I am prepared for raidation, which by some definitions is adjuvant because my PSA will still be undectable.
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