REPLY RECEIVED FROM MY UROLOGIST AFTER I COMPLAINED THAT I WAS NOT GIVEN MUCH TIME OR EXPLANATION.
Your PSA appear to have risen from a base of 0.03 in 2010 to 0.07 today. That is not exactly something I would be worried about
if I was wearing your shoes. If it was to go on rising at even 0.02 ng/ml every 6 months for another 5 years it would still only be 0.27 ng/ml 5 years from now. Strictly, yes, that would be slightly above the technical indicator for biochemical recurrence post-surgery (which is 0.2 ng/ml), but think about
this this way ...
Let's say that your PSA did rise to 0.27 by 2020 (as described above), and it went on rising at the same rate for another 20 years ... then by 2040 your PSA level would be 0.27 + 0.8 = 1.27 ng/ml. That's still way lower than your PSA level was when you got diagnosed. If you were 60 years of age when your were first diagnosed, you would then be 90 years of age. I really don't see a problem that is worth spending any time worrying over here.
What you are much more likely ot have is a tiny amount of normal prostate tissue that was left benind at the time of the surgery that is growing extremely slowly and is therefore generating very low levels of PSA.
Post Edited (tony w) : 7/9/2015 6:57:29 AM (GMT-6)