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klains
Regular Member


Date Joined Nov 2010
Total Posts : 79
   Posted 6/24/2011 6:54 AM (GMT -6)   
Husband went to the urologist yesturday after 6 weeks RP. His PSA came back " undetectable" tongue .  When I asked the dr, if there was a number . ex .02 , .01, or something like that. He said there was none, undetectable. Is that correct, or should there be a number also? The other question is he said he wanted to see him in 4 months. But he was not going to take another PSA for a year. I thought I read / heard somewhere, this was to be checked frequently for the first year. If all go then go to annual. Maybe I read/ heard that wrong. Super Super happy with the news, just want to make sure he is doing the right thing going forward.

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4829
   Posted 6/24/2011 8:19 AM (GMT -6)   
GREAT NEWS....
 
Undetectable is just that...undetectable idea
 
It is often displayed as <.01 (less then 1 one hundredth)

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3747
   Posted 6/24/2011 8:21 AM (GMT -6)   
"Undetectable" can be written 0.00, 0.0, <0.01, <0.1 It's all undetectable.

Generally, PSA tests are performed at least every 6 months, and in "high-risk" cases every 4 months after treatment.

If your husbands pathology after surgery showed him to be very low risk, then maybe going a year would be okay. You can ask your GP to do a PSA test any time you want....
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

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 6/24/2011 12:41 PM (GMT -6)   
Congrats on the good news. Ask the doctor for a copy of the PSA report, they have to give it to you, and then you can see how it is worded. My uro always gives me a very precise number without asking.
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 margin
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, 4/11 3.81, 6/11 5.8
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

North49
Regular Member


Date Joined Feb 2011
Total Posts : 83
   Posted 6/24/2011 1:02 PM (GMT -6)   
Not sure what the standard is(or if there is one) but I thought testing every 3 months after RRP for the first year then every 6 months was the norm.

BTW, my reading is basically undetectable too but since there is always a measure of tolerance either way it comes back from the lab at <0.01, my doc says that's zero. Congratulations, a new member of the Zero Club!
PSA 5.6 - 04/2010 - DRE positive
PSA 6.7 - 09/2010
Biopsy - 09/2010 - Age 53
T2b/c Gleason 7, 4+3
PSA 8.2 - 12/2010
RRP - 12/2010
pT3a, Gleason 7, 3+4, 20% PCa
pNO
Negative margins and seminal vesicles
RP 37.3 g
No further treatment recommended.
PSA <0.01 - 03/2011 - 3 month post-op
PSA <0.01 - 06/2011 - 6 month post-op

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 6/24/2011 1:13 PM (GMT -6)   
congrats, wishing you a lifetime of them

Tim G
Veteran Member


Date Joined Jul 2006
Total Posts : 2301
   Posted 6/24/2011 2:59 PM (GMT -6)   
Congratulations, Klains, on the great PSA test result!
 
Undetectable means that it is below the lowest value that the testing instrument can detect, for example, < 0.1, <0.05, <0.01, etc.
 
For almost all intents and purposes, anything less than 0.1 ng/mL is considered zero.
 
I had my PSA tested at 3 months, 6 months, 1 year, then yearly after that.  

DaSlink
Veteran Member


Date Joined Feb 2011
Total Posts : 713
   Posted 6/25/2011 9:43 AM (GMT -6)   
Congrats and welcome to the Zero Club. Beers are on me! Usually after I've had a few, all over me!!!!
Every minute you fish or ride,adds an hour to your life!

Age 52 Dx age 53 daVinci surgery
prostate volume 32 grams
Biopsy 12 cores with 7 positive
Gleason score of 7
1st PSA 38.7 10/05/2010
2nd PSA 49.9 11/23/2010
CT neg.
BS Negative
RRP on 01/25/2011
PT3a -40% involved
margin involved-Left anterior
lymph nodes -clear
1st post op PSA-0.26-03/16/11
2nd PSA-05/09/11-0.08
Lots of ED

p_elliott
Regular Member


Date Joined Nov 2010
Total Posts : 143
   Posted 6/26/2011 3:18 AM (GMT -6)   
Congratulations on the zero! My doctor has me taking PSA's every 3 months. He said that would be for the first two years then every 6 months after that.
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