Posted 11/23/2016 5:04 PM (GMT 0)
I met with the RO when my PSA hit .07 after surgery. He offered treatment at that point but also said we could wait for one more confirmation of the rise. He has had a handful (less than 10) of patients in the 15 years he has been providing SRT that did indeed rise to ~.1 and then level off or go back down for years. So that's about 10 guys out of the thousands he has treated.
He said the .2 plus two rises is old school and was based on the testing available at the time the standard was developed. (<.1) Now with the more sensitive testing a rising trend can be established at much lower levels. According to him it's the trend that matters, not the actual number. He was also said recent studies do indicate earlier is better but keep in mind early SRT is below .5 There isn't a lot of data that says there is a difference in outcomes 15 years from now with SRT at .05 vs .07. OTOH there is LOTS of data that says outcomes are better with SRT started at <.5 Don't listen to what your URO says, it's not their specialty. Mine wasn't going to refer me to the RO until I hit 1.0 (not a typo - "one point zero") At that level SRT on a G7 (4+3) would be pretty much pointless.
If your PSA is bouncing around like the OP's it makes sense to wait. Look at my numbers, it was time to pull the trigger IMHO if I wanted any shot at a "cure" and yes I understand cure is a relative term.