Hi Mike.
From NICE guidelines:
PSA levels should be measured no earlier than 6 weeks after treatment, then at least every 6 months for 2 years, and once a year thereafter.
After at least 6 months' initial follow up, consider a remote follow-up strategy for people with a stable PSA who have had no significant treatment complications, unless they are taking part in a clinical trial that needs formal clinic-based follow up.
https://cks.nice.org.uk/topics/prostate-cancer/management/management/
I had my RARP over two and a half years ago. I was T3a and Gleason 9 (4+5). Fortunately my PSA has remained undetectable.
Basically, I organised and monitored my own PSA checks, which after the intial one, were all done at my GP's.
For the first two years I had test every 3 months and after 2 years every 6 months. So I've had more frequent tests than NICE recommend.
I don't think there's anything in their guidelines that recommend different time periods for PSA testing for higher staging or higher graded disease.
Edited by member 06 Aug 2025 at 08:15
| Reason: Additional text