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Rising PSA years after radical prostatectomy

Prostate Cancer | Last Active: Mar 5 7:14am | Replies (206)

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@web265

The short answer is yes, but....
right after surgery I didn't take anything. It was nine mos before my PSA went from .039 to .091, at that point I went on orgovyx and started radiation (SRT) for 40 treatments.

There are some who suggested to me that at those low numbers I may have jumped the gun on treatment and may have been better off waiting another couple months to see what the PSA did during that time period, my urologists are pretty aggressive I guess.

The radiation is over now and I'm down to .014 as of a couple weeks ago, and, still taking the drug. I'm not really certain how long my urologist is going to want me to take it, I tolerate it fairly well. I'll ask on my next follow up.

You may be thinking like I did, why don't they use the ADT as soon as you get diagnosed as an additional therapy and maybe to slow the spread while you make a treatment decision, then after surgery to help starve any cancer cells floating about in the nerves or capillaries? I'm planning on asking that at my next visit just to see what they say, someone here may have already asked that one. Haven't seen if that's the case.

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Replies to "The short answer is yes, but.... right after surgery I didn't take anything. It was nine..."

Thank you for your quick response. Still trying to decide on radiation treatment. Don't know if I should have PSMA now or wait until after next result psa in October. What a mess, huh?