PSA results after Robotic Surgery

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Regular Member

Date Joined Nov 2010
Total Posts : 102
   Posted 12/9/2010 8:08 AM (GMT -6)   
I would appreciate your thoughts on my recent PSA score after surgery which was .3 My Dr said he was not happy with the results and started me on Harmonal Therapy right away. I was originally scheduled to start HT prior to radiation the later part of January. I have been having a great deal of rectal discomfort the last several weeks (my surgery was 10/26/10) and my Dr. prescribed a strong antibiotic in the event of infection and then a Procto Foam which I am currently using. He is having me take another CT scan tomorrow. Just curious why he is having me take another CT scan. Does anyone know exactly what he could be looking for? My signature below outlines the tissue invasion prior to surgery and makes me wonder if the cancer has had time to find it's way into my rectum area. I have had prostititis for 25 years but this newly found pain will get your attention. It is not continuous but raises its ugly head every now and then. My thanks to you all for your insight and willingness to help.
Stay well and blessed

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 12/9/2010 11:50 AM (GMT -6)   
TTaylor, sorry you are having continuing difficulties, along with elevated post-treatment psa results. Starting HT early, even before SRT, isn't uncommon, so sounds like your doc has some handle on what the needs to do, at least. As far as the rectal pain,. I have not answer for you, other than it seems you doc, again, is on top of the situation. Also, I suppose the CT scan is for determining what your problem is, if it is visible, to help identify or eliminate things. Make sure you come back and update us, ok?
James C. Age 63
Gonna Make Myself A Better Man
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing open RRP, Path: pT2c, 110 gms., all clear except:
Probable microscopic involvement of the left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09- Uh-Oh, next in Feb.
ED-total-Bimix 30cc

Veteran Member

Date Joined May 2009
Total Posts : 2692
   Posted 12/9/2010 5:14 PM (GMT -6)   
I have the best way to figure out what the doctor is thinking is to ask him. I know at times we tend to be a little reluctant to ask questions at the rsik of sounding stupid, or maybe we don't even want to know.

I have become bolder in my approach. I also am not shy abput giving my opinion on his decsions. I believe it is good to challenge once in a while, and I hate gping home and having my wife ask " Why is he doing that ?", and I must respond "I don't know ".

Sounds as tho you have a good doctor who is on top of what is going on. I would say a .3 calls for some more immediate action.

Good luck. We will wait to hear what the CT scan showed, (if anything )
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
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