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Posted 5/11/2017 3:14 PM (GMT 0)
PSA result <0.002. Didn't ask for ultra-sensitive.....just got the one test they offered.

Very happy.

We can do this!
Posted 5/11/2017 4:21 PM (GMT 0)
great news!

love all those zeros,
Andrew
Posted 5/11/2017 7:58 PM (GMT 0)
"We can",

That is wonderful news! It is not often we see postings like yours of post-RALP PSA "climbing the hill" to .04, then "coming back down the hill", then disappearing.

I checked your past posts and forgive me if you did explain this...but am interested in any added info you can give on your PSA history.

Did your docs decide you probably had some benign tissue post RALP that produced some PSA, then tissue died off or something?

Did they discuss with you, while you were at the .04 PSA level, any upcoming options for secondary treatments? It seems some ROs are now looking at readings > .03, on a rising trend, as probable evidence of cancer recurrence rather than just some benign tissue (happens sometimes, esp. RALP vs. open surgery) or PSA from other (non-prostate) body organs (very unusual).

Reason I ask is that I, and others here like Pratoman, are watching low level PSAs and trying to decide what is going on and when to act, if seems needed. Any info you can add will help.

Thanks, and congrats again!

Robert
Posted 5/11/2017 8:41 PM (GMT 0)
Bobbiesan,

I think my issue is that several different labs were involved. The first two were in NY, the next four were at two different centres in CT and yesterday's was at a private hospital in the UK. They all seem to have varying degrees of specificity when reporting. Frankly they were all <0.1 so I'd have been very happy with that result every test. Getting down to two and now three decimal places just freaks you out a bit.

To be specific to your question and to follow on from my point above, my Uro was not concerned about the rise to 0.04. He said that every centre, technician, equipment would produce slightly different results and that I should only call him if the number went over 0.1.....he certainly wasn't in the ">0.03 camp". I took comfort from that as he is a cautious guy and it was him that insisted on a biopsy when I hit 2.2 and he was adamant that RALP was the right way forward for me. The surgeon agreed with him. I think I've been one of the lucky ones...no incontinence, no ED and a bunch of zeros.....but I've taken a route that many would consider unnecessarily aggressive (early surgery with my stats) so in some ways I guess I have made my own luck. My over-riding principle was "get this out of me now, just in case something may spread". I think partially that was driven by my father's situation with throat cancer - his docs said "we're confident we got it all and it hasn't spread"....six months later he was gone.

Happy to answer more, not sure if I really covered your points.
Posted 5/11/2017 9:46 PM (GMT 0)
Yes, you answered them quite well, thanks,

Robert
Posted 5/12/2017 3:39 PM (GMT 0)
Congrats, go celebrate!
Posted 5/12/2017 3:46 PM (GMT 0)
Party time!
Posted 5/12/2017 4:34 PM (GMT 0)

We can do this said...
We can do this!


...to which all the people arose and lifted their voices in unison:

"Yes we can!"

Post Edited (JackH) : 5/12/2017 10:53:00 AM (GMT-6)

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