← Return to PSA remains after treatment (surgery, Eligard and radiation)

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@michaelcharles

Hammer101: Best wishes for good PSA news next week.
My last preop PSA was taken 4 mos before surgery and was 7.5 (up from 5.9 & 5.7 prior year, so undoubtedly higher at time of surgery in August 2022).
Postop path: Bad news; Gleason 9 (and 8s) and nonfocal Extraprostatic Extension (EPE).
Better news; clear surgical margins, 4 lymph nodes and seminal vesicules.
Was really hoping for, and anticipating, good PSA at 90 days; with recurrence sometime in the "future".
Disappointing reality; 90 day PSA 0.19 (30 day retest 0.18).
Now 3 weeks into 4 mos Orgovyx and scheduled to begin 38 radiation txs Match 10.
And again, on the Gerbil wheel of hope.
I think that all of us want to know "numbers" and to take hope in other's experiences.
I have 3 friends with Geason 4+3 who have had undetectable PSA 90 days postop, and hope that is the result for you.

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Replies to "Hammer101: Best wishes for good PSA news next week. My last preop PSA was taken 4..."

We are very similar in stats and medical treatments.. I am 68years may I ask your age and what your urologist and radiologist thoughts on the lower PSA with high stg Gleason..

michaelcharles - Thanks for the reply and all of the information. You are exactly correct on my situation, I have been trying to understand the experiences of others to give myself an expectation for what is to come for me next week (1st 90-day PSA post radical prostatectomy). What I have come to understand - Every individual case is unique. Some match my situation exactly and others are worse/better. However, BCR does not seem to follow any predefined guidelines. At this point, I am accumulating all of the information I have learned so that I can have an informed discussion with my doctor, regardless of PSA level. This site has been invaluable for me in learning about prostate cancer, hearing about others' journeys, and developing a plan going forward.
Praying for your Orgovyx and radiation treatments to go well and the prostate cancer to be eliminated!!!

Jim