← Return to Rising PSA post Prostatectomy. Please, what should I expect or do?

Discussion
coa44 avatar

Rising PSA post Prostatectomy. Please, what should I expect or do?

Prostate Cancer | Last Active: Dec 7 12:31pm | Replies (25)
Comment receiving replies
Profile picture for coa44 @coa44

To 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 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.

Jump to this post

Replies to "To all my wonderful community, I listened and heard you well. This morning, I rescheduled my..."
icorps | @icorps | Dec 6 10:16am

@coa44
Good luck!
Seems like a good choice.
You might want to AI Google your situation to get a better grasp of your urologist thinking..
Things have improved so much with the wider use of PSMA pet scans which can more readily detect smaller spots of the cancer. Often radiotherapy extends the field of zapping nearby lymph nodes to the spots where cancer is seen on the theory that they may have undetected micrometasis the PSMA scan can't detect.
Sounds like your doc is being extra safe here by also giving you ADT and Enzalutamide which not only helps the radiation work better (they still don't really know why it does that) but also systemically goes throughout your body to kill undetected micrometasis cells. I can attest to Enzalutamide's
efficacy. A three month dose without ADT dropped my PSA from 3.47 to undectable.

VIEW AND REPLY