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Recurrence Post RALP: Did a second opinion change your plan?

Prostate Cancer | Last Active: Apr 11 10:39am | Replies (58)
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Profile picture for dhasper @dhasper

@klein505 Yes that is my concern as before my RALP my PSA was 2.5 and my psma number was a 1. So sitting around waiting for PSMS detection seems really dangerous.

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Replies to "@klein505 Yes that is my concern as before my RALP my PSA was 2.5 and my..."
surftohealth88 | @surftohealth88 | Apr 9 9:27pm

@dhasper

Every single study that I read confirms that one should not wait for PSA to rise above 0.2 for starting salvage RT to achieve the maximum benefit, no mater if PSMA is negative. Here is article from 2025 with cited studies that summarizes current protocols and recommendations.
https://journals.lww.com/co-urology/fulltext/2025/09000/treatment_of_biochemical_recurrence_after_primary.6.aspx
And one from 2023:
https://www.nature.com/articles/s41391-023-00712-z
My husband will follow old and proven path.

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