PSA levels after a prostatectomy?

User

Posted 11 Apr 2021 at 00:18

Sorry to disappoint ulsterman I would never pick a fight with Lyn - I don't like loseing

Ulsterman / Lyn I remember our discussions at the time all those years ago as at the same time my USPSA was the same as Ulsterman's (0.014 I think) my point is USPSA is useful in avoiding salvage RT with some degree of confidence. Otherwise without it a T3B with positive margin post op will normally result in a recommendation for ajuvant RT as you say Lyn.

It's just I read this thread and thought OMG this new member has had three different recommendations - all of which were right in their own context but sone of which may be very wrong in this context especially if the desired outcome is a 100% remission at any cost..

The perfect result post RP is a "less than" in whatever test you use, it's just that a less than with the UPSA is "more perfect!". Even Lyn can't argue with that, can she?

Edited by member 11 Apr 2021 at 07:32 | Reason: Not specified

User

Posted 11 Apr 2021 at 01:38

No and I wouldn't want to argue with anyone on here and I am always conscious of the impact our different opinions can have on a person who has just been given carp news. It just really upsets me to think that a medical professional can make such a careless comment with no thought to the possibly unnecessary distress that can cause. The first PSA shouldn't have been done at 5 weeks so the result is a tad unreliable anyway; it could drop rather than rise and then there will have been all this angst for no good reason. It just makes me sad.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User

Posted 11 Apr 2021 at 08:46

My apologies for causing unrest in the camp. Although I have found the divergence of views confusing, I am grateful to all those that have taken time to respond.

I have reported exactly what has been said to me by my urologist, and not added any opinion of my own. Also being relatively new to this platform, I wish there was a glossary of abbreviations which are commonly used here, to aid my comprehension (although, slowly, I am getting into the lingo)!

I think, like my urologist, I have to wait and see what the PSA results are in about 6 weeks. I welcome any future contributions people may have to my situation.

User

Posted 11 Apr 2021 at 09:31

Bernster

I had surgery 7 years ago and things have changed, the covid situation may also have had an effect on the norm.

My post op PSA was 0.03, I had positive margins and extraprostatic extension. My six week post op consultantation and summary letter said I would be referred back to the consultant if the PSA breached 0.1. When it did I came back under the umbrella of urology there was no treatment at that stage and I just had three monthly tests. At 0.2, I was referred to an oncologist and started salvage radiation therapy at around 0.27.

Just a thought, are you sure he said the threshold for RT was 0.03 and not 0.3. I have seen guys at some hospitals not get salvage RT until 0.5.

Thanks Chris

User

Posted 11 Apr 2021 at 09:39

Originally Posted by: Online Community Member

Bernster

I had surgery 7 years ago and things have changed, the covid situation may also have had an effect on the norm.

Just a thought, are you sure he said the threshold for RT was 0.03 and not 0.3. I have seen guys at some hospitals not get salvage RT until 0.5.

Thanks Chris

Yes. I was told by a cancer team nurse that the threshold is 0.03 which is, presumably, why my urologist has suggested that if my level increases from the 0.04 at present, a course of RT may be necessary.

User

Posted 11 Apr 2021 at 10:33

Originally Posted by: Online Community Member

Also being relatively new to this platform, I wish there was a glossary of abbreviations which are commonly used here, to aid my comprehension (although, slowly, I am getting into the lingo)!

There is a glossary of abreviatioms here

https://prostatecanceruk.org/get-support/using-the-online-community?loggedIn=false&_gl=1*10gt452*_ga*MTcwMTM1MDE4LjE2MTgwODY3NzQ.*_ga_NWKX2S91S5*MTYxODEyODYwMC4yLjEuMTYxODEyOTU1Ny41Mg..&_ga=2.99517466.526664236.1618086774-170135018.1618086774

Go. To Community Main Menu/Help/Glossary.

Cheers

Bill

User

Posted 11 Apr 2021 at 11:24

Originally Posted by: Online Community Member

Also being relatively new to this platform, I wish there was a glossary of abbreviations which are commonly used here, to aid my comprehension (although, slowly, I am getting into the lingo)!

There is a glossary of abreviatioms here

Go. To Community Main Menu/Help/Glossary.

Cheers

Bill

Sorry if I appear thick, but I can't seem to find the glossary using that link.

User

Posted 11 Apr 2021 at 11:45

Once you have clicked on the link, just scroll all the way down to the bottom of the page and the abbreviations are listed.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User

Posted 11 Apr 2021 at 12:54

Originally Posted by: Online Community Member

Once you have clicked on the link, just scroll all the way down to the bottom of the page and the abbreviations are listed.

Many thanks, Lyn. The problem of using a PC in landscape mode!

Edited by member 15 Apr 2021 at 12:40 | Reason: Mis-spelling

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