? 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


Swimom
Veteran Member


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

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 :>)

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


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


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

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