From 11.9 to 18.4 in one month. I have RP scheduled for 8 days from now. My MRI was clean, but this PSA reading suggests activity that may render the MRI seriously moot. In prep for the procedure I've been building a hardon every day. Could that activity raise the PSA that much.
Looking bad for me, I think.
What do you think?
Glad to see your MRI was clear. I'm assuming you also had a clear bone scan?
As for the PSA, I'm not a doctor, but it would seem unlikely that the PSA would naturally jump that much in just one month. Could be an infection, etc., instead.
Can you give us your regular stats, such as age, PSA history over the past few years, your complete biopsy results: Gleason score, staging, number of positive cores/percentage of involvement, etc.
Then we can offer more complete thoughts for you.
Also, remember that they usually do NOT recommend surgery unless they feel there is a good chance of being cured. So you've still got a lot going for you. :)
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.
Pathology showed Gleason 3 + 3, pT2c, N0, MX, R1
adenocarcinoma of the prostate.
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, 9/9/13 PSA <0.1. PSA tests now annual.
Semi-firm erections now happening 14 months post-op & VERY slowly getting a bit stronger.