When was your first PSA test after RP ? (after how many days)

I had a bone scan last Friday and it was clear. I had a CT scan today and for the first time ever I did not get the results back even though I had it at 11 o’clock.

I got my blood test back and there are some real questionable issues

My Neutrophils has gone up to the maximum normal. When that high, it can mean that your cancer is reoccurring. It is not above the maximum normal, but right there at the top.

My immature granulocytes jumped from zero to .1, Which is a huge jump actually, And again the maximum number you get if you’re normal. That means that my bone marrow is pushing out white blood cells that are immature. Another possible issue. I want to see what my CT scan shows now. I will definitely get the answer tomorrow.

After radical prostatectomy, the first PSA test is usually done about 6 to 8 weeks after surgery. This allows time for any remaining PSA in the blood to clear. The result should ideally be undetectable.

Follow-up testing is then typically done every 3 to 6 months for the first couple of years, every 6 to 12 months up to year 5, and then annually if everything stays stable.

I am so sorry to hear about concerning blood count results ☹️ - was that a case when you had that one spot on your spine couple of years back ? Maybe it is again "tiny something" and this time in one node that can be just zapped and be done with it 🍀✨ ? Ugh , stupid cancer !!!!! I will continue to send good vibes Jeff ✨✨✨ and hope that your CT shows nothing at all. But even if it does, cancer has no idea with whom he is dealing - you suppressed it completely so many times, I have no doubt that you will be a victor at the end 🏆 🤗 !

6 weeks. Monthly after that until stable, which still hasn't happened to be honest.

Just got the CT scan results. There is a cyst in my kidney That has grown a lot since 2020. It says follow up with another CT scan in a year, but it could be a problem since its cause is indeterminate.

L4 on my spine has some negative issues. It was zapped last year because it had a metastasis wrapped around it. Some of the tissue has become more dense. Need more information.

I need to speak to my oncologist to find out exactly what she thinks all this means.

I will follow up tomorrow.

Wishing you the best in sorting out what's going on, Jeff.

jeff,
So sorry for your less than stellar lab/scan results. What an unwelcome stressor. This evening, we are toasting ( with green tea) your continued success in the ongoing fight with PCa. May tomorrow bring you some very positive feedback and explainations from your oncologist!
Bill

3 Months for me and I'm on 3 month PSA bloodwork for at least a year to 18 months. BTW the Phlebotomist that draws my blood is a hoot and a half. I think she appreciates that I'm not afraid of needles etc.

90 days < .1

My understanding is that the present guidance to urologists for the initial post RP PSA test depends upon the pre RP PSA and the post RP pathology report.

According to a JAMA Oncology paper in May 2025, the “conventional post RP PSA taken at 6-8 weeks” should be started at 12 weeks if the patient has a pre RP > 20 (it takes longer for the protein to be removed ). This is recommended to avoid over treatment.

A different JAMA paper regarding post RP pathology indicating ECE guiding to a 6 week post RP ultra-sensitive PSA and then a 12 week ultra-sensitive PSA in order to measure PSA trend. This recommendation is provided to understand PSA doubling rate for patients with a detectable PSA post RP prior to the 0.2ng/ml BCR threshold.