Doctor insights on:
Psa Post Prostatectomy
I would like info on treatment for fising psa after prostatectomy. level is now 1.49 13 months post op.?
Here are some ...: Rising PSA after definitive Rx such as radical prostatectomy (RP), external beam radiation therapy (EBRT) or brachytherapy (radio-seed implant) or cryotherapy may suggest: local recurrence /residual tumor or nearby spread such as lymph node or distant spread such as to lungs, ribs, spine, pelvis, hips, etc. How to handle individual condition? Ask your treating urologist for assessment and Rx as .. ...Read more
Psa is a protein made in the prostate gland that functions to liquefy sperm. It is a serine protease made by both normal and malignant prostate glands. Commonly used as a screening test for prostate cancer, the psa test is widely used to detect which men would benefit from a prostate biopsy as well as detect cancer recurrence in men who have been ...Read more
Psa 7, gleason 8, 30cc prostate, 1cm spot, patient 68yr, no apparent metastities. is radical prostatectomy the best option, can you tell me?
Here are some ...: If he is resonably healthy, yes, radical prostatectomy will give him a better edge of long-term survival although possibly expecting instant negative impact to his erection and urine control. If his health status is marginal, other options of care such as radiation or cryotherapy will result in comparable outcome despite G-score at 8/10. So, consult Doc to balance medical necessity & possibility. ...Read more
62 yr had prostatectomy 2005 on lupron (leuprolide) last test 16 testesteron is that normal 4 my cond low testr. Psa 2.0?
Yes, ...: Some one third after radical prostatectomy(rp) may have "rising psa" over time, which suggests three potential conditions: local recurrence; microscopic spread to nearby tissues, notably regional lns; spread to far sites, such as spine, pelvis, ribs, and lungs. Remember: the report of no metastasis from bone scan and ct before rp does not guarantee no spread in 100% because these tests can not .. ...Read more
Prostatectomy generically refers to total or partial removal of the prostate gland by surgical or endoscopic means for benign or malignant conditions. More commonly it refers to radical prostatectomy, an operation to treat prostate cancer, though in the past, endoscopic prostatectomy (TURP) for enlarged prostate (BPH) was a more common operation ...Read more
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