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Rising PSA years after radical prostatectomy

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

Hi - I am not a doctor. My situation has some similarities to yours. My PSA has gone up and down over the last 4 years or so after a RALP. You may want to check this out: https://prostatecancerinfolink.net/2015/01/14/low-detectable-psa-after-prostatectomy-watch-or-treat/

My most recent PSA was .07. It had been rising to .11, then it has been coming down since then. I have decided that if it does start rising and does so steadily, I will probably wait until it is .5 or so and then get a PSMA or similar scan to see if anything is found.

Best Regards

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Replies to "Hi - I am not a doctor. My situation has some similarities to yours. My PSA..."
pablo81 | @pablo81 | Nov 19, 2022

I find it interesting that the PSA varies in individuals from very low (such as yours at .07 to .11) to extremely high in the hundreds (and even thousands). Also there is always a qualifier in medical literature that the PSA is not a reliable indicator yet it is used (almost arbitrarily) to start down a path of many tests and precedures looking for prostate cancer. Now it is recommended that it not even be looked at after a certain age (I think around 50). Very confusing and questionable.

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