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Post prostatectomy: What do rising PSA levels mean?

Prostate Cancer | Last Active: May 26 4:55pm | Replies (188)

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@jjmack

Hi All, I'm new here. I have found reading this forum very informative. I was diagnosed in January 2021 with PSA of 28. Had not had it checked since 2014. Bit of a shock. Short version - had robotic radical prostatectomy in May 2021. T3bNO, Gleason 5/4, 18cc. Pre-surgical PSMA showed seminal vesicle invasion, but no spread anywhere else. Monthly post-surgical PSA results of 0.17,0.12,0.23, 0.24. Recent PSMA post shows undetectable including prostrate bed. Because of high grade pre-surgery, radiologist is recommending 6 months ADT and SRT. Here's my question, I have been fighting incontinence since surgery. I have reduced from 4 cups leakage per day to about 1/2 cup (200g). If measured in "pads", this is 4-5 soaking wet pads down to 3 pads changed for convenience (e.g. after workout, etc.). Any thoughts on postponing SRT to gain more continence. I find that there isn't much talk about continence at support groups and maybe I'm whining to much, but it really is a QoL consideration.

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Replies to "Hi All, I'm new here. I have found reading this forum very informative. I was diagnosed..."

Hello @jjmack and welcome to Mayo Clinic Connect. Thank you for joining the discussion and sharing your personal journey with incontinence so that others may as well. Members such as @scullrower and @ch665296f have both shared the same and may have some additional information they can pass to you.

Additionally, you'll find other men talking about this issue in this discussion:
– Does anyone still have leakage? https://connect.mayoclinic.org/discussion/does-anyone-still-have-leakage/

What have you been doing to see the improvements you have to date?