Connect← Return to Side effects and PSA after photon radiation.
Discussion
Side effects and PSA after photon radiation.
Prostate Cancer | Last Active: Jun 12 11:17am | Replies (43)Comment receiving replies
Hi Ed
What does your radiologist say about your PSA?
I think your PSA is doing fine. I also had a urologist question the PSA result 3 months after SBRT w/o ADT. Even said "perhaps they did not do it right". I suspect now he was still cranky as I did not choose him for surgery, and was not familiar with RT w/o ADT. My radiologist was fine with my PSA decline from 4.77 to 2.98 after 3 months. Its been a slow 4 year decline to now 0.8. Hang in there.
Check it every 3 months for year, then every 6 months thru year 5. Then perhaps once a year? not sure on that.
Duckster
Replies to "Hi Ed What does your radiologist say about your PSA? I think your PSA is doing..."
Connect
Hi Duckster,
Thanks for sharing your experience with PSA after radiation. I have an apt with my radiologist this Friday. I want to understand his expectations compared to my urologist, who felt my decline in PSA was insufficient. What you are describing and what I have been reading both on this site and the internet, slow declines seem to be the norm. I am feeling more confident in my results and hopefully my radiologist agrees as well.
Similar results with my Urologist before I made a decision to go with radiation rather than surgery. While I had only one sample of 3+4 from my (2) biopsies, reported < 5%, I asked my urologist if he would recommend surgery for any amount of Gleason 4 score, he replied yes. Not the answer I expected, so I take his recommendations with a grain of salt.