PSA - After Surgery

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Regular Member

Date Joined Feb 2007
Total Posts : 60
   Posted 5/26/2007 7:41 AM (GMT -6)   
I have read numerous messages concerning "acceptable" PSA after surgery but can not find any central threads on this subject.  Many of you use the term "undetectable" but I am not sure what an exact definition of undetectable really means.  All my doctor told me was that labs use different procedures to measure PSA with some being much more accurate than others. Therefore, he said to always use the same lab to get a consistent reading.
My specific question:  My first post op PSA was 0.02 with the method being "Bayer Centaur".  Is this reading considered "undetectable" or do I need to worry and look for alternative treatment.
Thanks in advance for any information.  Ed

Age: 63
PSA 2.62, Negative DRE
Biopsy: Gleason 3,3  Stage T1c
Prostate 71 grams 
Biopsy: Cancer 5% in one of twelve modules
DaVinci April 16, 2007, Cathter Removed Day 8
Tumor Confined To Prostate,  Gleason 3,3
Surgical Margins and Seminal Vesicles Are Negative for Tumor
6 week after PSA .02

Veteran Member

Date Joined Oct 2006
Total Posts : 621
   Posted 5/26/2007 8:08 AM (GMT -6)   
Ed! In our opinion 0.02 is great! We were told undetectible is "less than .02"! But that .02 in itself is a great reading. You will undergo regular PSA tests (usually every 3 months for first year, and 6 months for second year) to keep an eye on your PSA.

Wishing you a lifetime of ZEROOOOOO's!
;o) Linda & Bob

Bob (61) - Laproscopic Prostate Removal Sept 27, 2006.
2 of 12 malignant biopsy samples - gleason 3 + 3 = 6.
Pathology - cancer completely contained, even a second more aggressive, previously undetected cancer)

Bob also has two secondary conditions -- Polycythemia (elevated red & white cells & platelets) and . . Myelofibrosis) -- If anyone has experience with or information on these, please email us.

Post Edited (lawink) : 5/26/2007 10:09:17 AM (GMT-6)

Veteran Member

Date Joined Apr 2006
Total Posts : 1732
   Posted 5/26/2007 9:50 AM (GMT -6)   
Hi Sween,

I don't have the link off the top of my head but look on the web for an article entitled "Manaaging PSA Intelligently". It's a decent article.


Veteran Member

Date Joined Jul 2006
Total Posts : 681
   Posted 5/26/2007 2:35 PM (GMT -6)   
My urologist would NOT even do a PSA test for 8 weeks. He said that the original(residual) psa remains in the body for weeks and weeks. I see your test was done at four weeks with only a .02 reading so within a couple more weeks it should register (less than0.01).
Biopsy 10/16/06
T2A,  PSA 4.7
Gleason 4+4=8 right side
adrenocarcinoma of prostate
DaVinci Surgery 01/16/07
Post op report,confirms Gleason4+4=8
no extra extension/invasion identified
age 65
Back on the golf course...
90 day PSA  less than 0.01 (undetectable)

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