Follow up DRE after surgery?

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proscapt
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Date Joined Aug 2010
Total Posts : 644
   Posted 4/14/2011 10:22 AM (GMT -6)   
What's the need for regular follow up DRE in addition to followup PSA tests after prostatectomy?

I just read a statement from a respected doc that after RP we should be getting both PSA and DRE followups every 3-6 months (3 months if Gleason 7 or higher; six months otherwise.) The DRE would be looking for nodules in the prostate bed, obviously, since there's no prostate to prod. I've been getting the PSA religiously every 3 months as my doctor instructed, but wasn't asked to come back for DRE's or any other kind of testing.

What have you all been advised to do?
DX age 54 12/2009
PSA 5.6, DRE-, high pre-op PSAV. Clinical stage T1c
Biopsy: Gleason 3+4 with PNI / 6 of 14 cores + / 10% of total length + / worst 45% +
DaVinci RP 2/2010
pT2cNx / Gleason 3+4 / PNI+ / SM- / SV- / EPE- / Tumor vol 3cc / vol 40cc / 63 gm
PSA - 4/10 <0.01, 8/10 0.01, 12/10 0.01, 3/11 0.01

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3741
   Posted 4/14/2011 10:38 AM (GMT -6)   
I would think if the PSA remains undetectable, there is no point in doing a DRE...
Age 68.
PSA age 55: 3.5, DRE normal.
age 58: 4.5
61: 5.2
64: 7.5, DRE "Abnormal"
65: 8.5, " normal", biopsy, 12 core, negative...
66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
67 4.5 DRE "normal"
68 7.0 3rd biopsy positive, 4 out of 12, G-6,7, 9
RALP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9 SRT, HT. 2-15-'11 PSA 0.0

clocknut
Veteran Member


Date Joined Sep 2010
Total Posts : 2667
   Posted 4/14/2011 11:29 AM (GMT -6)   
At my first post-operative visit, I asked my urologist why he was doing a DRE.  He gave some explanation about feeling the area where the prostate formerly resided, looking for anything unusual.
 
Personally, I think that maybe they just like to do that.  nono
Age 65
Dx in June 2010.
PSA gradually rising for 3 years to 6.2
Biopsy confirmed cancer in 6 of 12 cores, all on left side
Gleason 7 (3 + 4)
Bone scan, CT scan, rib x-rays negative.
DaVinci 8/20/10
Negative margins; negative seminal vesicles
5 brothers, ages 52-67 ; I'm the only one with PCa
Continence OK after 7 weeks. ED continues.
PSA 1/3/10: 0.01

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 4/14/2011 12:47 PM (GMT -6)   
I have had at least 4 DRE's post my original surgery, seems to be some doctor's preference
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,

Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 4/14/2011 1:30 PM (GMT -6)   
They are looking (feeling) for other things during the DRE exam...internal hemorrhoids [sp?] or other growths or cancers of the rectum, for example.

Should be part of regular physical exam, prostate or no prostate..
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