This is kind of different question, but here goes: has anyone here had a short time period from biopsy to surgery? I was biopsied on May 18 (this was five years ago), and had surgery June 9 - just three weeks later. In my case I had a PSA a few months prior and it came back at 28. Thinking it surely was an infection to have an asymptomatic PSA that high for a 45 year old, we did a month of antibiotics. The PSA came back at 39 after that!
My urologist hustled me into a biopsy and once diagnosed, recommended immediate surgery ASAP. He explained that most of the time he would have waited a few more weeks for the gland to settle down. But in my case, he suggested first availability. That’s what we did.
I had a positive margin, and my PSA went up to .25 5 months later, so I had radiation. I’m doing great 5 years later, with good results. But my last three PSA were right at .1 – not undectable, but not moving – just sitting there at .1 – which is fine by me.
My oncologist says he’s seen that before where a PSA just sits at a low number and doesn’t do anything. It’s hard to say why this is. We're certainly going to monitor it.
One theory might be that some prostate tissue got left behind. This might have been because the prostate was still irritated by the recent biopsy, and was harder to “scoop” out. I even had a wide excision (non-nerve-sparing) procedure.
After five years, this really doesn’t bother me all that much – it’s just curious. Anybody out there ever experience or hear of such a thing as what I am describing?