Doctor Appointment

Had my annual urologist/oncologist appointment this past Friday. We basically just reviewed latest uPSA results and where we were at in the battle. His thoughts on previous low uPSA results, dropping the coveted < , of 0.009 and 0.007, was in dealing with ultra sensitive test of no concern to him as merely "noise." That from his experience, I was still undetectable. Stated that based on time since both RALP (2017) and termination of SRT and ADT (2019), with undetectable PSA, he considered me "in the clear." Offered me the options, move to PCP for care now or continue with current testing (6 month) and annual visit with him. My decision was to have two more 6 month uPSA tracking labs with no scheduled visit with him. If anytime, I felt it necessary to see him to just make an appointment; otherwise, I am moving to PCP for annual PSA tracking after next two tests. The doctor recommended that following the next two tests that I be tracked utilizing the standard PSA assay, which I believe I will do.

So, following biopsy I was G9 with one core 5 + 4 highest. Opted for RALP with pathology downgrade to G7 4 + 3 with SVI and EPE and tertiary 5 less than 5 percent; therefore, pT3b. Undetectable PSA for one year, then SRT and ADT (6mo.). Since end of these treatments (05/19) undetectable.

The battle still continues as the foe is always in mind but there is hope. I still remember that "call" as though it was yesterday and the bottom falling out from under me. The key is hope with a positive outlook and finding a site such as this with the outstanding knowledge and support offered. My gratitude to all you gentlemen and ladies just continues to grow as I see you reach out to others with compassion and sage advice. May the good Lord bless you all.

I took largely the same path as you, although I didn't have ADT. about five years after the end of RT I began to relax somewhat and went down to annual PSA tests.

Post Edited (fiddlecanoe) : 3/21/2023 4:12:09 AM (GMT-8)