Thank you so much for the follow up. I have gained good knowledge and hope from your post. Looks like your results were great. I am hoping for the same.
Here is some additional information, hope it is helpful, also check my signature for more details;
My PSA was .04 last time, but now it has been on the rise and is now at .12, as of yesterday.
I was also confused why I would have a PSA without a prostate. It is my understanding that there are a few reasons why this can happen. Even though they are carful to remove all the prostate tissue, if they leave just a sliver, you could have an ongoing PSA in the “noise” range.
My Dr tells me that there are a number of things to consider for each individuals case before taking further action.
In my case, the PSA has been on the rise for at least the last three 6 month check PSA checkups .01, .02, .04 and now .12. This has caused him to be concerned and he has set me up to see the Oncologist on Thursday for discussing radiation therapy. I asked him if the PSA could be going up due to an infection or something. He informed me that this could have been the case before having a prostatectomy, but after having a prostatectomy over three years ago, the only reason for the rise in PSA that I am having is because there has to be some residual cancer.
In my case, because I am still considered on the younger side of the PC survivors group, he believes that he wants to take a more aggressive approach and try to stop the growth sooner rather than waiting until later on. Because PC is so slow growing, I assume that if I were in my 80’s, even with this small rise in PSA, it may not be something to be overly concerned with.
Also, in my case, after my prostatectomy, the pathology report showed that all the margins were negative. Regardless, because one of the nerve bundles was involved, the newer theories are that with the nerve involvement that the cancer cells can escape the prostate by traveling along the nerve. This is the reason that in my case there is more concern with the rising PSA then it may be for others.
That is why I am expected to be going in for radiation therapy in the near future. The expectation is that with the radiation therapy that there is ~65% chance that this will kill the cancer, or at least stop it from growing any further.
I hope this information is helpful. I will provide an update after my visit with the Oncologist tomorrow morning.
Diagnosis Results – Oct 31, 2007;
•Age – 53 (turned 54 in Nov 2007)
•PSA is 3.83
•Gleason's Grade - 3+3=6, T1C
Surgery Dec 11, 2007;
•Cancer confirmed on Right mid and Left apex
•Both nerve bundles spared, some damage to the Left bundle.
•30 day PSA, .01
•90 day PSA, .00
•Latest PSA, .12
•ED treatments: Levitra, Cialis, Trimix, Erect Aid pump, Penile Implant on 3/12/2009