Just a point to clear up for others considering HT...
"If my doctors are correct, HT wouldn't work for long with me, and I am not willing to sacrifice the remaining quality of life I have on my own."
It is my understanding that doctors are not able to predict on whom and for how long HT will work. In very rare cases it does not work well at all, and and on others, the patient never fails. It is highly unpredictable.
Back to the topic on ultra-sensitive PSA testing. I personally do not want the headache of micro-managing this disease. And I am glad about
that. My last PSA test was the first ultra-sensitive PSA test and it still showed no PSA detection. I don't know if I had always used this test that it might have fluctuated. If it would have, it would have been completely unnecessary worry that I am glad I missed.
I have followed various study propaganda on ultra-sensitive PSA tests and there is very little evidence I can find supporting a benefit in managing prostate cancer. Many doctors suggest that there is but controlling PSA earlier is about
all I can find. I found nothing on it leading to earlier therapy that improves prostate cancer specific mortality...of course versus following the more standard Bayer assay...
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7
Da Vinci Surgery ~ 2/17/2007
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.
Post Edited (TC-LasVegas) : 2/3/2011 1:22:47 PM (GMT-7)