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Doctor insights on: Psa Post Prostatectomy

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I would like info on treatment for fising psa after prostatectomy. level is now 1.49 13 months post op.?

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

Dr. James Lin
270 doctors shared insights

Prostate Specific Antigen (Definition)

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


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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

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Does a rising psa after a radical prostatectomy mean cancer?

Does a rising psa after a radical prostatectomy mean cancer?

Yes: This is called psa recurrence. Depending on pathological factors you can predict the chances. Radiation and or hormone ablation are often next treatment steps if surgery was first treatment. ...Read more

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Dr. Barbara Lavi Dr. Lavi
<b>3</b> doctors agreed:
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62 yr had prostatectomy 2005 on lupron (leuprolide) last test 16 testesteron is that normal 4 my cond low testr. Psa 2.0?

62 yr had prostatectomy 2005 on lupron (leuprolide) last test 16 testesteron is that normal 4 my cond low testr. Psa 2.0?

Testosterone not my: Testosterone level is not my worry. A pt with a prostatectomy and hormone therapy should not have a psa of two. Should be almost undetectable unless a metastatic lesion is present. Follow up with ur urologist for repeat labs and further imaging studies. ...Read more

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What is a normal psa reading after a prostatectomy?

Undetectable : After complete prostate removal, hopefully the PSA level remains zero. The indisputable best use of PSA is post prostatectomy to rule out recurrence of the disease. ...Read more

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Need expert advice. After radical prostatectomy is there chance for psa rise?

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

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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

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Friend has prostatectomy 5 years ago and now psa risen slowly to .4radiation for 8-10 weeks advised but should he first stop testosterone?

Friend has prostatectomy 5 years ago and now psa risen slowly to .4radiation  for 8-10 weeks advised but  should he first stop testosterone?

Testosterone/cancer: I can't make specific recommendations for you friend, but i sense your question is the following: is taking testosterone (t) safe in prostate cancer? The answer is, generally, yes. Unless someone has metastatic disease that needs to be treated with androgen deprivation therapy, a normal physiologic level of testosterone is okay. If t is being given, levels must be checked to ensure its not high. ...Read more

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Does a rising psa after a radical prostatectomy mean cancer?

Yes: This is called psa recurrence. Depending on pathological factors you can predict the chances. Radiation and or hormone ablation are often next treatment steps if surgery was first treatment. ...Read more

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Dr. David Samadi
93 doctors shared insights

Prostatectomy (Definition)

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