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Post Prostatectomy 6 years. PSA <.01 until now. Anyone else ?
Prostate Cancer | Last Active: 4 hours ago | Replies (74)Comment receiving replies
@tom86 Well, perhaps it is true, statistically speaking that is is rare for a DRE to detect anything is PSA is <0.1. Clearly, my urologist (who was one of the tops in the Denver metro) never got tht memo. Actually, with one positive margin, he was always concerned about a recurrence after my RARP. He never did usPSA testing either, just the normal test. Of course, with usPSA testing, you can see trends developing at extremely low PSA, which is exactly the issue you are potentially facing. Sounds like the medical profession has swapped DRE anxiety for usPSA anxiety.
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@melvinw
I reached out to Stanford University today in an effort to get a consult. A Oncology nurse called me back and I mentioned, "BTW, several men on the MAYO web site are claiming they have nodules detected via DRE post prostatectomy with no detectible PSA" She stated they do not do DRE on post prostatectomy patients and that is standard nationally for all major centers. Not done, period. No PSA, no nodule. Unless I am missing something, I do not understand how something this huge (based on some of the posts) can be overlooked. That takes care of the centers of excellence in CA as to their protocol. Not done, do not believe it is necessary.