vancouverIslandHihker, If I read correctly you had your prostrate removed is that correct? If so your PSA should have eventually gone to the undetectable level (I don't know that number so won't post it). If you still had your prostrate you are going to have PSA. And that PSA can rise without any connection to cancer baseid on irritation, infections, etc.

I am not sure why you did NOT get a PSMA prior to your surgery. A PSMA would have determined whether the cancer had spread outside the prostrate. I had both as PSMA and bone scan as well as Decipher test. A rising PSA after having your prostrate removed is something I would asked questions on.

A PSA above undetectable level and NOT having your prostrate would be a concern that some of the cancer cells were still in body and creating PSA levels. All this is information I have learned but IN NO WAY am I a physician so all this needs to be discussed with your doctors. Bottom line if you PSA is above undetectable level and it has been a year (If I read correctly) would be in my opinion a need for a PSMA.
Good luck and welcome to MCC