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10 months after brachytherapy seeing a slight increase in PSA
Prostate Cancer | Last Active: 3 hours ago | Replies (10)Comment receiving replies
Remember that you still have a prostate that is naturally producing PSA, but now at a low “new normal” level. PSA is going to vary. (Mine did that, too; see my attached post-treatment PSA tracking chart.) Keep tracking your PSA.
Also note that with brachytherapy (& with SBRT) they say there can be a PSA “bump” (or “bounce”) that can occur 12-18 months post-treatment. It’s important to monitor it, and not jump in and treat it out of too much concern.
It’s important not to overtreat it, just as it’s important not to undertreat it. You probably did a lot of research on your treatment options. Do you feel that you treated it appropriately based on your numbers?
(When my Gleason rose from 6 to 7, and my PSA increased to almost 8, I had 28 sessions of proton radiation plus 6 months of hormone therapy.)
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@brianjarvis I'm aware of the possibility of bounce with brachytherapy. Definitely not going to do any more treatment unless it becomes a real trend. I definitely feel that I did my homework - attended cancer center run seminars and spoke with three different oncologists that said doing all possible modalities would be overkill. I chose brachy over radiation because I did not want the 5 1/2 weeks of daily hospital runs. Had some nasty side effects after brachy but those have gone away. Charts are all on the hospital health site. Thanks