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Posted 7/19/2017 3:47 PM (GMT 0)
So, I'm on AS and had a PSA reading of 3.5 one month ago. Uro looked at this, gave me a DRE and exam, and basically said "looks stable, see you in 6 months for your next biopsy." Great. Now I can mentally put this away until Christmas.

This week I go for my annual physical. Due to an apparent administrative error, they do a PSA test again (same lab as used last month.) Result comes back at 4.0.

My Question: Should I push the uro to accelerate the timetable next scheduled biopsy? I have asked him his thoughts but have not yet received an answer. My PSA history is a bit variable (see sig).

Thanks
Paul
Posted 7/19/2017 5:08 PM (GMT 0)
Paul, I'm guessing this is the normal range of bouncing around PSA's for you. But, I think if I were you I would probably opt for another PSA test sometime in the next 2-3 months rather than waiting for the 6 months...to either give you some peace of mind or encourage a move up of the biopsy.

Jim
Posted 7/19/2017 5:13 PM (GMT 0)
PSA isn't a very good indicator about when to react on AS. I think you should just follow your Uro's protocol. A lot of the AS programs are doing PSAs less frequently - it's the biopsy that matters.
Posted 7/19/2017 6:06 PM (GMT 0)
Thanks for the feedback.

Just heard back from the uro who wants another PSA in 6-8 weeks to be sure there is no large trend lurking in the data. So I guess we will take it from there.
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