Posted 9/6/2018 1:26 PM (GMT 0)
My 3 month September (9/21) uPSA is coming up in a couple weeks. This will be 27 months post op. In some research, there appears to be a consensus that very, very small amounts of PSA that can be from sources other than prostate tissue or PCa. One of those is the urethra.
So, this may be a very silly question and one that makes me seem to be grasping at straws with false hope, but is there anything I can do to reduce the "other" sources of PSA post RP? For example, does riding a bike put pressure on the urethra causing some "extra" PSA secretion(s)? Could sex still cause an uptake in PSA, even without a prostate? Does hydration matter in post RP uPSA testing?
My last 3 readings over 9 months have been 12/17 .007, 3/18 .010, 6/18 .015. I am hoping for some stability or a very slow rise so I can put off further treatment for a while.
Other than that, all is well, the summer went great, and I continue to have very minimal SE's (slight drip every now and then). I am even on sporadic Cialis now, looking to come off of it completely soon.
J
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Age at Dx: 54
08/31/15 PSA 2.5
01/01/16 Urinary Frequency
02/05/16 DRE +
02/22/16 Biopsy
02/26/16 Dx 7-12 positive; (5) 3+3=6; (1) 3+4=7; (1) 4+3=7; T2B
03/11/16 Bone Scan -
03/23/16 CT Scan -
03/31/16 Surgery Consult UPENN
04/08/16 RT Consult/2nd Op Fox Chase CC upgrade to 4+4
04/14/16 3TMRI "organ confined", EPE-, SV-, LN-
06/01/16 DaVinci @ UPENN (Dr. D. Lee)
06/08/16 Path EPE+ (focal), Marg +, SV-, LN-, G7(4+3), G4 80%, T3a, 25-50% gland involvement
07/01/16 Start 5mg Daily Cialis, 20mg once a week on Friday's
07/06/16 Decipher 0.56; GRID PORTOS Lower RT Response
08/31/16 uPSA <.006
12/01/16 uPSA <.014
03/01/17 uPSA <.006
06/01/17 uPSA <.006
09/01/17 uPSA <.006
12/01/17 uPSA .007
03/01/18 uPSA .010
06/22/18 uPSA .015
09/21/18 uPSA ????????