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PSA dropping before davinci surgery

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Posted 6/7/2018 5:39 PM (GMT -8)
scheduled for surgery on 6/21
psa rose 2.0 to 2.4 to 3.0 to 3.4 in mar 18
scheduled reluctantly for surgery on 6/21
on pre-op today, psa had dropped to 2.4
any suggestions how this can happen and if it should affect me getting surgery
thanks all
Posted 6/7/2018 6:10 PM (GMT -8)
Was the 3.4 taken after your biopsy? Pushing 12 needles through your prostate would temporally rise your PSA.

I still think you're a candidate for AS.

Andrew
Posted 6/7/2018 6:18 PM (GMT -8)
no got the biopsy after getting the 3.4 result - really surprised today for it to drop to 2.4
send emails to the surgeon and my oncologist and waiting to get their thoughts
full disclosure did go to a energy healer last week who told me he could cure it by getting the energy flowing and did some work supposedly releasing the blockages - highly skeptical but weird it dropped

would a drop in the psa mean anything to the cancer biopsy results
thanks Andrew
Posted 6/7/2018 6:45 PM (GMT -8)
Looks like PSA was artificially elevated due to prostatitis. Doc probably had you on antibiotics to eliminate. Not going to impact your Gleason score; yours is the lowest possible score.
Posted 6/7/2018 6:53 PM (GMT -8)
No antibiotics, after 4 quarters going up steadily
Dropped full point just prior surgery
Posted 6/7/2018 6:56 PM (GMT -8)
I don't know your story BUT...If it was me ...I would STOP EVERYTHING...and get more information.

Unless there is a lot of information about your treatment plan that is contained in other posts, that I do not know... you are in danger of being over-treated.

In my opinion, you will regret surgery for the rest of your life.
Posted 6/7/2018 7:02 PM (GMT -8)
Prostatitis is the other possibility. It's often hard to treat and hard to diagnose, but I would have expected a note on the biopsy about inflammation.

I'm thinking aliens, or you figured the energy flow on your own or prostatitis or a lab error. I wouldn't be surprised to hear that your docs want to repeat the test.

In any case, PSA due to PC doesn't normally act like that.

Do tell us what the docs say, but you'll still need treatment at some point.

Andrew

Note, updated to correct an mistake.
Posted 6/7/2018 7:46 PM (GMT -8)
Brothers, you seem to be focused on his psa.

But, he had a biopsy with 10 of 12 cores found to have cancer.

Yes, it's Gleason (3+3), but, at age 52, that is concerning, and IMHO, after a second review of his biopsy pathology, he may need SOME form of treatment.

My humble advice would be to (1) cancel the surgery; (2) send the biopsy cores to Johns Hopkins for a second opinion, and (3) research your other options and consult with radiation specialists.
Posted 6/8/2018 3:10 AM (GMT -8)
Cancel the surgery and do some more research. I can assure you that they will reschedule your surgery if you decide that is your best route. This is a big decision, but you do have time to investigate other options.

Good luck.
Posted 6/8/2018 4:51 AM (GMT -8)

ASAdvocate said...


My humble advice would be to (1) cancel the surgery; (2) send the biopsy cores to Johns Hopkins for a second opinion, and (3) research your other options and consult with radiation specialists.

I agree.

Jim
Posted 6/8/2018 5:07 AM (GMT -8)

3 putt said...
Cancel the surgery and do some more research. I can assure you that they will reschedule your surgery if you decide that is your best route. This is a big decision, but you do have time to investigate other options.

Good luck.


Yes! Time to back up the surgery bus, get a second opinion, do your research, and then make an informed decision.
Posted 6/8/2018 7:37 AM (GMT -8)
AS, pointed out a mistake I made in my post above. I read the number of cores involved wrong. You'll need treatment.

The question is do you still want surgery? If yes, then get it done as scheduled.

But if you want to explore radiation options, you'd be safe to cancel surgery while you get those consults.

ASAdvocate - thanks for keeping us on track here,
Andrew
Posted 6/10/2018 2:57 PM (GMT -8)
wow amazing with such as low psa that u have 10 of 12 cores positive...hmm well if your surgeon isn't backed up for 6 or 7 weeks like they r here..u might want to check with a radiologist..might be to much to handle with just tradiation..do they offer brachytherapy where you are the combo of IBR and EBR works extremely good ..so they say
Posted 6/13/2018 10:30 PM (GMT -8)
My PSA dropped before my surgery several weeks ago. I was at a 5.8 and it was on it's way back down and was at 4.2 last time I checked. I asked the same questions of my doctors and they mentioned that this can sometimes be the characteristics of PCa. The surgery turned out to be far easier than I could ever have anticipated and my post-surgical biopsy turned out to be an increase from my needle of 3+3 to a 3+4. Moving forward is the right thing to do. Hang in there, at 3 weeks out I'm almost back to my normal pre-surgery routine and can't believe I gave it so much worry. Robotics is a game changer in this surgery.
Posted 6/14/2018 1:32 AM (GMT -8)
IMO, your biopsy shows too many positive cores to avoid treatment, even though all them are G6, but psa always likes to surprise us with its ups and downs.
Posted 6/14/2018 5:33 AM (GMT -8)
In the last 2 years, my PSA has ranged from 5.2 to 1.9 to 4.3. It's not a decision-maker in my case at this time.
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