stress over follow-up psa

Yes, I am a past master of PSA Anxiety. I had an RALP 10 years ago with end pathology of 5+3 tertiary 4. The gland was riddled and it had, unbeknown to myself, started to escape nanoscopically. Still I remained undetectable for 18 months and in all the time until then, each test was monumental in terms of stress. The honest answer is that nothing will really help but one thing I wish I’d done back then is not sweat the small stuff. At that point, PSA rises are usually so small, we are talking billionths of a gram per teaspoon of blood that you really should only worry when/if the cancer returns a PSA which says you have become incurable. You are, from what you say, so far away from that point, I think you should really try and think from the perspective of a person who remains undetectable - and that is the fact of the matter. Just mantra - “I am cancer free, I’m young, my cancer is in a preserving jar and my blood remains totally undetectable. Why should I really worry about such a joyous position.” 

After all, isn’t that the outcome your wanted? To be PSA free?

good luck with your demons brother.

Bazza 

Edited by member 23 Jun 2020 at 08:58  | Reason: Typo

I am in the same boat as you, G4+3=7 and prostatectomy two years ago.

I have had seven or eight PSA tests since then, all <0.1, ‘undetectable’. I have extended my testing regimen to six months and am quite chilled about it. The surgeon did a good job.

I am quite aware of the Nomogram prognostications of recurrence, which don’t look too great at fifteen years, but what the hell? I might be dead of something else by then.

Best of luck!

Cheers, John.

Edited by member 23 Jun 2020 at 12:42  | Reason: Not specified