First PSA Post RARP

I just read:

"– A temporary PSA “bump” may be detected 1-2 months post-op before declining to undetectable levels. This is thought to be due to release of PSA from disrupted prostate cells during surgery."

Technically I'm still undetectable but hopefully it continues to drop. I see a lot of guys on here with 0.01, being a 0.07 seems high comparatively. So 🤞
https://www.restonyc.com/how-long-to-check-psa-after-prostatectomy-and-radiation/

I can completely understand your "lump", I have several : /. I am so happy to hear that it actually does not mean anything in early recovery period and it is good to know about that so thanks for posting the link : ).
May your PSA level completely disappear in following weeks : ) and than big celebration will be in order !!! How will you celebrate ; ) ? Or you will just open nice bottle of wine and relax watching a sunset ? Sometimes enjoying the simplest things is the best celebration of all : ))).

As a realist and pragmatist, I know that my PSA can rise again at any time for the rest of my life, precipitating the need for further treatment. My PSA being near zero is already the expectation, the actuation of it simply removes the said lump 😉.

Ha ha, regardless, celebration is in order ! No incontinence, no ED, most probable 0 PSA in couple of weeks and maybe it will stay that way forever, that is realistic possibility too ; ).

Mine was < .01 at my first testing after surgery. About the only thing I got lucky with. But i think I may always live with the risk. I have 5 years of < .01.

Assuming that you will have another PSA test from the same lab in another 6 weeks, it is only a data point.

Most important to focus on physical recovery.

More important data at this point in time is the post RP pathology report. Those results, along with your pre-RP test results, provide you and your medical team with data that will be combined along with your first several PSA test results to guide the frequency of testing PSA.

After your next PSA test result, you have two data points and, hopefully, it shows a lower PSA.

If the 2nd PSA test result is not lower, you have time to consider next steps. Typically, next treatments occur when the biochemical recurrence (BCR) value of 0.2 ng/ml.

All of which leads to my opinion to focus on the actions you can do now (physical recovery) and celebrate your recovery progression every day.

Hey bud, just to be sure, was it the same lab? My first post op PSA came back at .1 and my surgeon blew his top.
He immediately ordered a second one from a different lab and it came back < .02.

My 1st post op PSA was at the 90 day mark (.19). G 9 w/ EPE.
Following salvage treatment, my PSA thankfully has been < .02
Less than .1 is the standard post RP.
.2 - .4/.5 is BCR treatment level.
I think that your PSA is appropriately low and hopefully may go lower.
This is what "successful" looks like in the world of PCa.
And I am "on the edge" at every 90 day follow up PSA.
Goes with the territory.
Best wishes.

That's my hope - that it goes lower. Interestingly, research came out just two days ago challenging taking the first PSA earlier than about 90 days after surgery. It gives me hope that this is not only true but that I really don't need to be terribly concerned with my result.

Of course they refer to men who had, literally, four times higher PSA pre-surgery than me, but the idea may still be accurate.
.
https://www.eurekalert.org/news-releases/1076695

Also, speak to your surgeon. He told you pre op you were losing one nerve bundle. Perhaps he “shaved” around that nerve and left healthy prostate tissue in place.
Two urologic surgeons told me this is common in nerve sparing procedures.