PSA Frequency Test

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Sharp18
Regular Member


Date Joined Mar 2010
Total Posts : 78
   Posted 4/9/2011 3:58 PM (GMT -6)   
What is recommended PSA frequency test (after one year of undetectable PSA after PSA removal)?

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/9/2011 4:15 PM (GMT -6)   
Its really varies between doctor, patient, and individual stats. The norm for the first year is eveyr 3 months, the second year every 6 months, and at year 3, once a year. Really depends on your personal situation.
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 2/11 1.24
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10,

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 4/9/2011 4:16 PM (GMT -6)   
Well, each doctor (and patient) is different. Mine wanted every 3 months the first year, every 6 mts. the second year and around every 9 months the third year, then yearly, if the psa remained zero. Be interesting to see what others say.
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing open RP, Path: pT2c, 110 gms., clear except:
Probable microscopic involvement-left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09, 12/10-.09, 02/11-.08
ED-total-Bimix 30cc

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3742
   Posted 4/9/2011 4:44 PM (GMT -6)   
3 months first year. 6 months second year as long as it stays zero. Yearly at 3 years.

He will also write an order upon request if I get anxious. So far I haven't asked.
Age: 58, Mar 35 yrs, 56 dx, PSA: 4/09 17.8 6/09 23.2
Biopsy: 6/09 7 of 12 Pos, 20-70%, Gleason 4+3 Bone, CT Neg
DaVinci RP: 7/09, U of Roch Med Ctr
Path Rpt: Glsn 3+4, pT3aNOMx, 56g, Tumor 2.5x1.8 cm both lobes and apex
EPE present, PNI extensive, Sem Ves, Vas def clear, Lymph 0/13
Incont: 200ml/day ED: Trimix
Post Surg PSA: 10/09 .04, 4/10 .04, 7/10 <0.01, 12/10 <0.01
AdVance Sling 1/10/11 Dry

rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1132
   Posted 4/9/2011 5:22 PM (GMT -6)   
I was tested every three months for the first year and now on six month check-ups. I just had my 3 year check-up yesterday and the doctor said see you in six months. I didn't ask him about a yearly check-up. To be honest, if he put me on a yearly check-up, I would go every 6 months anyway.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/9/2011 7:20 PM (GMT -6)   
The answers are pretty consistent so far
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 2/11 1.24
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10,

Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 4/10/2011 6:24 AM (GMT -6)   
Sharp, before surgery, my husband was told PSA every 3 months for the first year, then every 6 months for years 2 through 4, then annually. After surgery, when his surgical path showed EPE, his surgeon wanted to test PSA every 3 months for the first two years. John (my husband) is now on semi-annual PSA tests, and should move to an annual test starting in year 5.

Sharp18
Regular Member


Date Joined Mar 2010
Total Posts : 78
   Posted 4/11/2011 9:56 PM (GMT -6)   
Thank you for your feedback

North49
Regular Member


Date Joined Feb 2011
Total Posts : 83
   Posted 4/11/2011 10:57 PM (GMT -6)   
Every month before surgery, every 3 months post so far.
Age 53
PSA 5.6
Diagnosed Sept. 2010
Biopsy T2b/c Gleason 7, 4+3
RRP Dec. 2010
Pathology pT3a, Gleason 7, 3+4, 20% PCa Negative margins, lymph nodes and seminal vesicles
No further treatment recommended.
3 month post-op PSA 03/2011 <0.01

Kolin6
New Member


Date Joined Mar 2010
Total Posts : 16
   Posted 4/12/2011 7:40 PM (GMT -6)   
I had a PSA test every 6 months for the first 4 years, then once a year.
I had my last test a week ago. It was Zero after 9 years.
How about that?
Life is GOOD.

davidg
Veteran Member


Date Joined Feb 2011
Total Posts : 4093
   Posted 4/12/2011 8:08 PM (GMT -6)   
Worried Guy said...
3 months first year. 6 months second year as long as it stays zero. Yearly at 3 years.

He will also write an order upon request if I get anxious. So far I haven't asked.


that's my goal, get to the yearly and have a doc that will give me one whenever I get anxious.

I'm going to have my second post-op PSA in a few weeks so I have a long way to go.
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