PSA Tracking One Year Post RP

Hi, I had RP one year ago. No symptoms, just PSA rising on annual test from 3.5 in 2009 to 5.2 in 2012 to 7.1 in 2013. Biopsy June,2013 G4+3. RP 8/15/2014. Path G3+4 and one pesky lymph node with < 1mm focus.

Pretty quick recovery from incontinence but it got my attention early on and I worked on it. Kegels and bladder training have paid off nicely, dry with a rare minor drip and getting better each day.

ED improving at a slow, continuos pace. No reward for 60% as most would agree. Trimix and Cialis. Did I mention slow recovery?

Uro/oncologist suggested SRT trigger at >.07 trend. Hit .07 and stabilized at .06 which is one year psa.

Happily on AS and no rush to SRT. Will continue 6 week PSA tests. Might move SRT goalpost to .1 or .2 as time under .1 increases although like dr.s input and appreciate their understanding of medicine.

My data is in signature. It's the only thing I'm sure about. I've spent way too much time looking for data that tells me the odds of PCSM. I do like mskcc nomograms and once in a while I think about 8 years to metastasis and 5 years to well, you know. I also keep in mind that statistics measure groups and all the current projective data is based, as it can only be, on past data. New treatments coming on line all the time producing new forecasts. Maybe 8 and 5 is really 20 and 15.

Lastly, I'm hopeful to be average, play the odds for my numbers and continue to post data points at least annually.

Thanks to the forum for a wealth of data and for the most part not being a bunch of geezers bit##ing about our prostates or lack thereof.

Luther

Thanks Chask,

Like you I have something that prohibits my PSA from being 0. Although .07 and .06 are really small numbers, they still indicate a positive value and that's the issue.

Good to see your first post SRT result <.01! Very encouraging number.

Just a note, I'm totally continent, however I realize my definition of continence has become more flexible compared to ten years ago when a minor drip would have sent me reeling.

Best,

Luther

Thanks John, I tried pomegranate juice but it didn't take for me even though I eat raw broccoli daily. Was just going to look for another form of pomegranate. Tried the seeds from Costco as well. Looks like I'm looking for a pomegranate pill which sounds really bad. Ideas?

Aussie, have to confess that at the time, I was probably not as well informed as I am now, and took the advice of my Uro who said as it had escaped the capsule we should go to RT straight away. To be fair he did say that we should ideally wait until continence was resolved and At the tome we planned the RT sessions I was virtually dry....but not quite 100%.

I take responsibility for that as I was keen to hit this thing with everything possible.

The ADT was only considered as a tertiary treatment when my PSA went from .03 to .07 in 4 weeks.

That actually upset the RO as he wanted to see the effect of the RT before starting ADT, but by then it was too late as I had already started.

Is there any possibility of using MRI to identify any action in the Pelvic bed? Way beyond my level of knowledge I'm afraid, but you could certainly start ADT before considering RT. In fact I think that is often the preferred option when RT has been delayed.

I would strongly advise that you learn as much as possible and gather several opinions before starting RT as it is definitely has it's down sides and is best avoided if possible. But as I have said previously, I have no regrets about hitting my pelvic bed with RT early and hopefully before the beast had escaped.

Best of luck

Chas

Thanks Carl, I'll head there today. Appreciate the lead.

Luther