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← Return to Rising PSA post Prostatectomy. Please, what should I expect or do?
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Rising PSA post Prostatectomy. Please, what should I expect or do?
Prostate Cancer | Last Active: Dec 7 12:31pm | Replies (25)Comment receiving replies
Strongly suggest 2d opinion with Radiation Oncologist asap.
See SPORRT trial.
Negative PSMA PET w/ rising PSA indicates residual disease in the pelvic floor region and/or pelvic lymph nodes.
My treatment, as well as 2 friends, was Salvage Radiation Treatment with short term ADT.
ROs and MOs are using different ADT regimens based upon Gleason score and other factors.
However salvage radiation to the WPRT and pelvic lymph nodes was the base therapy for me and my friends.
A COE would be my suggestion, and there also are excellent medical providers in many communities.
Prostate Cancer Foundation CFP.org has a free patient guide available by download and hard copy on advanced PCa. Also there is a PCF webinar from Jan 2023 (I think) on Rising PSA after RP.
I would encourage action sooner then Feb either with your provider or a 2d opinion.
Best wishes.
Replies to "Strongly suggest 2d opinion with Radiation Oncologist asap. See SPORRT trial. Negative PSMA PET w/ rising..."
@michaelcharles
To you, and all my wonderful community, I listened and heard you well. This morning, I rescheduled my February 2026 appointment to the earliest available date in the first week of January 2026. During this upcoming office appointment, I will discuss with my urologist and kindly ask him to proceed with treatment instead of further active surveillance.
I want to further add that my doubling time is 11.5.
Again, thank you so much for the warm support. I look forward to an ongoing relationship with you.
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@michaelcharles
Thank you very much.