? re: post surgery PSA tests

Izzyblizzy

Regular Member

Joined : Oct 2006

Posts : 411

Posted 3/26/2007 2:38 PM (GMT -7)

Ok,

I remembered to ask our surgeon at our pre-surgery consult how long they will do the first PSA test post-op and he said one month, but It didn't occur to ask ... do they do an "ultrasensitive PSA" test or just the general one?

I am kind of confused about what the difference is, but have seen people on here who get .1 post surgery and others who get things like a .04 or whatever. What is a "good" PSA one month post-op?

Did your doc do the ultrasensitive on your first post-op PSA or a regular. When do they do the ultrasensitive? do you request it? is it dictated by insurance, etc?

Thanks for any answers.

Tanya

Significant other diagnosed: 10/30/06

PSA: 3.7 (up from 3.4 prior year)
Gleason: 3+3
Biopsy: 1/10 positive, 5% cancerous, right apex.

Da Vinci Scheduled: 4/10/07

Swimom

Veteran Member

Joined : Apr 2006

Posts : 1732

Posted 3/26/2007 3:55 PM (GMT -7)

Usually an ultrasensitive test Tanya....

Swimom

Veteran Member

Joined : Apr 2006

Posts : 1732

Posted 3/26/2007 3:56 PM (GMT -7)

Protocols dictate modalities and insurances accept practiced methods once they have been proven affective...cost effective that is!

Swim :>)

MichaelM

New Member

Joined : Jul 2006

Posts : 15

Posted 3/27/2007 1:10 PM (GMT -7)

Tanya,

If you are still using Dr's Ruyle/Montoya, they do not use the ultra-sensitive PSA test. I asked about that in January and was told that there is no clinical advantage to the ultra-sensituve test, so they do not prescribe it.

Michael

57 years old

Dx on 4/1/06

PSA 5.3

12 cores taken, 2% of 2 cores positive for adenocarcinoma

Gleason 2+3=5, right lobe, 2+2=4 left lobe

Stage T1c

DaVinci surgery on 6/27/06

Post-surgical Gleason 3+3=6

40% of right lobe and 50% of left involved in Gleason 6 tumor

Tumor close to margin in the left lobe.

30 day psa 0.1, 45 day psa <0.1, 90 day psa <0.1, 6 mo. psa<0.1

Izzyblizzy

Regular Member

Joined : Oct 2006

Posts : 411

Posted 3/27/2007 2:50 PM (GMT -7)

Thanks Michael,

Yes still with Ruyle. Thanks for the info, that is what i was wondering.

Everything still going well for you I hope?

Tanya

Significant other diagnosed: 10/30/06

PSA: 3.7 (up from 3.4 prior year)
Gleason: 3+3
Biopsy: 1/10 positive, 5% cancerous, right apex.

Da Vinci Scheduled: 4/10/07

MichaelM

New Member

Joined : Jul 2006

Posts : 15

Posted 3/27/2007 5:28 PM (GMT -7)

Thanks for asking.

It will be a year tomorrow that I had my biopsy and a year the next day that I was diagnosed. I am doing well....continuing to heal both emotionally and physically.

Good luck on 4/10. I know you guys will be happy to be on the other side of this journey.

Michael

57 years old

Dx on 4/1/06

PSA 5.3

12 cores taken, 2% of 2 cores positive for adenocarcinoma

Gleason 2+3=5, right lobe, 2+2=4 left lobe

Stage T1c

DaVinci surgery on 6/27/06

Post-surgical Gleason 3+3=6

40% of right lobe and 50% of left involved in Gleason 6 tumor

Tumor close to margin in the left lobe.

30 day psa 0.1, 45 day psa <0.1, 90 day psa <0.1, 6 mo. psa<0.1

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