? re: post surgery PSA tests

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Izzyblizzy Regular Member Date Joined Oct 2006 Total Posts : 411	Posted 3/26/2007 4:38 PM (GMT -6)
	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 Back to Top

Swimom Veteran Member Date Joined Apr 2006 Total Posts : 1732	Posted 3/26/2007 5:55 PM (GMT -6)
	Usually an ultrasensitive test Tanya.... Back to Top

Swimom Veteran Member Date Joined Apr 2006 Total Posts : 1732	Posted 3/26/2007 5:56 PM (GMT -6)
	Protocols dictate modalities and insurances accept practiced methods once they have been proven affective...cost effective that is! Swim :>) Back to Top

MichaelM New Member Date Joined Jul 2006 Total Posts : 15	Posted 3/27/2007 3:10 PM (GMT -6)
	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 Back to Top

Izzyblizzy Regular Member Date Joined Oct 2006 Total Posts : 411	Posted 3/27/2007 4:50 PM (GMT -6)
	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 Back to Top

MichaelM New Member Date Joined Jul 2006 Total Posts : 15	Posted 3/27/2007 7:28 PM (GMT -6)
	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 Back to Top

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