Post surgery psa, follow-up to Maldugs thread

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Regular Member

Date Joined Nov 2005
Total Posts : 154
   Posted 9/26/2007 1:58 PM (GMT -6)   
I didn't want my question to get lost so I'm creating a new thread.  I was just reading maldugs post re first post-op PSA and I have a question.  He mentions that his post surgery PSA came in at 0.05 and his Urologist said that he may need to have follow-up radiation.  I thought the post surgery psa should be <.1 to be considered normal.  What are the factors that determine if radition is required as a follow-up protocol?  Is it the psa and margins?  What psa levels post surgery require follow-up treatment?
Thank you.


flippin out
Regular Member

Date Joined Mar 2006
Total Posts : 137
   Posted 9/26/2007 3:01 PM (GMT -6)   
I'm in the dark here a bit , but <.0 (less than 0) = undtectable I had 4 results in that or the so called HAPPY range the last test was .1 and now has resulted in concern, follow up tests are required and if it holds at .1 or continues to advance forward then other options will be discussed as told by my surgen an oncologist will be consulted. ) :

54 PSA- 3.5
55 8
56 < 0,0,0,0,
57 .1

Veteran Member

Date Joined Aug 2007
Total Posts : 1015
   Posted 9/26/2007 4:54 PM (GMT -6)   
Hi AEG, mjr,
This is a very tough subject because PSA readings are so varied and every person's case is different.  I did a find link that may be useful, discussing post RP PSAs here:
Look under the "PSA Monitoring" section.
I hope this helps!

"Idaho" ~ Barry


Da Vinci Surgery July 31, 2007… 54 on surgery day
PSA 4.3  Gleason 3+3=6  T2a  Confined to Prostate

1st PSA 0.04 (undetectable) 9/11/2007

Regular Member

Date Joined Nov 2005
Total Posts : 154
   Posted 9/26/2007 4:58 PM (GMT -6)   
Thank you, that helps.

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