There are a few sources online that I read after my first high PSA test that specifically mentioned those things. It has been long enough I don't remember where I read that but it was a medical journal somewhere.

I think that it's one of those situation that in some men that some or all of these things may raise PSA - but the level it rises is subject to some debate. My doctor confirmed that all of those things could be true but weren't likely to have any meaningful impact on my PSA.

What I read was all about rising PSA, it had nothing to do with post RARP or ADT or anything whatsoever, I found it when trying to "game" my PSA by hoping beyond hope that the only reason my PSA was elevated was due to these things rather than cancer.

@chippydoo
I am confused by the original poster. If I read right he had a RP and has his prostate removed. The things that would irritate the prostate before a PSA test would then not be there as there is no prostate and no rise of PSA from prostate irritation.

I went to Mayo and UFHPTI and both recommended prior to PSA tests to not have vigorous sex, ride a bike, etc. as statistics were inferring could cause prostate irritation and you could get a rise of PSA due to the irritation.

I am confused since I did not have RP what the relationship of these activities have on PSA when you do not have a prostate to become irritated by those activities. I can asked my R/Os and I have a office visit with my PCP to go over my last PSA test. And reference that test I did not ride my bike (I do 20 mile rides) a week prior to my PSA test as was still being guided not to do that by my PCP and R/Os prior to PSA tests. But I have a prostate.