Posted 4/15/2013 1:14 AM (GMT -7)
142 is correct. An undetectable reading is <0.1. And your husband's IS <0.1. Most clinics/doctors, from what I've seen, do not do those super sensitive PSA tests as your husband is being given.
There could always be a microscopic fluxuation of a PSA reading that remains less than zero. But, as long as it is where it is now, your husband is probably just fine.
If you're saying it has been going up every year, can you give us the yearly readings leading up to the 0.05? In any case, it would seem very likely that he is absolutely fine.
Perhaps seek another urologist who has a lab that only gives standard PSA tests. I place a lot of trust in Mayo Clinic (Rochester, MN), where I've been a patient for many years -- I always go there for annual physicals. When PC knocked on my door, I answered it with a da Vinci at Mayo. And the PSA tests they give, I believe, are the standard tests and not the super sensitive readings. The latter can cause a lot of unnecessary anxiety.
Resident of Highland, Indiana just outside of Chicago, IL.
July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA Sept. 2011 was 5.7.
Local urologist DRE revealed significant BPH, but no lumps.
PCa Dx Aug. 2011 at age of 61.
Biopsy revealed adenocarcinoma in 3 of 20 cores (one 5%, two 20%). T2C.
Gleason score 3+3=6.
CT of abdomen, bone scan both negative.
DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
My surgeon was Dr. Matthew Tollefson, who I highly recommend.
Final pathology shows tumor confined to prostate.
5 lymph nodes, seminal vesicles, extraprostatic soft tissue all negative.
1.0 x 0.6 x 0.6 cm mass involving right posterior inferior,
right posterior apex & left mid posterior prostate.
Right posterior apex margin involved by tumor over a 0.2 cm length, doctor says this is insignificant.
Prostate 98.3 grams, tumor 2 grams. Prostate size 5.0 x 4.7 x 4.5 cm.
Abdominal drain removed the morning after surgery.
Catheter out in 7 days. No incontinence, occasional minor dripping.
Post-op exams 2/13/12, 9/10/12, PSA <0.1. PSA tests now annual.
Semi-firm erections now happening 14 months post-op & slowly getting a bit stronger.