← Return to First detectable uPSA since surgery 14mos ago

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First detectable uPSA since surgery 14mos ago

Prostate Cancer | Last Active: Feb 4 6:07pm | Replies (17)

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@heavyphil

Thanks for those guidelines - very helpful. I totally understand your dread and sense of inevitability ….that was me about 2 yrs ago.
But no matter your risk profile according to Gleason, etc., the new guidelines still recommend .2 as the definition of BCR. You are really far from that at .014…
Now the thing to watch is the velocity of any PSA increase since that is a pretty good indicator of how rapidly growing any cancer cells may be. Normal prostate cells left behind as part of nerve sparing procedures, or Cowpers gland cells do not produce rapidly accelerating PSA - only cancer does that.
Also remember that PSMA scan doesn’t really show much below PSA values of .5 so no great rush to have that done either. Enjoy NO treatment while you can!🤗

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Replies to "Thanks for those guidelines - very helpful. I totally understand your dread and sense of inevitability..."

I started thinking about the Cowpers Gland cells and their propensity to produce PSA. I couldn’t find much on it in terms of levels but 0.014 seemed like to high of a level for the Cowpers, just from a common sense perspective. I did have sex less than 8 hours before the test and an another time 24hrs before that, as that function has finally returned nicely. lol. However, I know I don’t have a prostate to elevate the number but was wondering if the Cowpers could be activated to do such a thing so close to a test. “Looking for excuses for an elevated number, he is.”