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Post prostatectomy: What do rising PSA levels mean?

Prostate Cancer | Last Active: May 26, 2024 | Replies (188)
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@colleenyoung

@swdg, allow me to add a link to the paper

- Low Detectable Prostate Specific Antigen after Radical Prostatectomy—Treat or Watch? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4586061/

Did you have treatment after prostatectomy or choose to watch and wait?

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Replies to "@swdg, allow me to add a link to the paper - Low Detectable Prostate Specific Antigen..."
swdg | @swdg | Sep 24, 2022

Colleen - After RP In 5/16 my psa was < .01 for about a year. Then it was .01 and started slowly escalating. It was up to .11 about 16 months ago, but has come back down to .07. My oncologist agrees that treatment does not make sense yet. So no further treatment since the RP. Thanks for adding the link. - Steve

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web265 | @web265 | Sep 25, 2022

Interesting article, a little tough to digest before my second cup of coffee, but, if I'm reading this ;"American Society for Radiation Oncology)/AUA (American Urological Association) guidelines for adjuvant and salvage XRT after RP define BCR as detectable or increasing PSA that is 0.2 ng/ml or greater after RP with a second confirmatory level of 0.2 ng/ml or greater.15"

I wasn't even at BCR yet when we started the radiation....
I only got as high as .091 and there was no second confirmatory before they referred me to the RO. If this is still the current train of thought, I'm a little surprised the insurance co didn't balk at it...
As suggested though, I may have missed some other variable...:)

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