Psa raise 5 years after brachytherapy

Best wishes,

Chris

The consultant phoned this evening. He said dh’s psa shouldn’t be 1.7 so he’s asked for another psa test at the end feb. When it reaches 2.1 he’s to return to discuss what to do next. Dh found out this year that he carries the BRCA2 gene. If we had known this when he was first diagnosed perhaps prostate removal would have been recommended. 

PSA meanderings. You can click on my profile for a bit of information but I think to run you through my treatment path will be helpful.

I am rapidly approaching my 79th birthday and have complete faith in my very talented Urology Professor

My LDR procedure took place in Bart's at the Royal London on 20th April 2010 ,13 years ago next month. My lowest PSA reading

ever was 1.0(Nadir) back in November 2012. During the post procedure years my PSA has slowly, very slowly, meandered up and down and currently sits at 3.3, down from 3.8 in October 2022. For the past 3 maybe 4 years my Professor of Urology, a lovely man,

and I have agreed that no further scan or biopsy will be considered until PSA has breached 5.0. I have regular PSA blood tests and

never take my eye off the ball(Needle). The doubling of my PSA from 1.6 in March 2012 to now has taken 11 years.

I continue to play Golf 3 times every week and ride a mountain bike 2 times each week for an hour or so. This is not an admiration seeking exercise but an encouragement to all LDR patients and to those considering LDR as a treatment.

I would be very happy to offer any further details of my experiences. I continue to keep in touch with other men who over the years

have been interested in my opinions via this website. I drift in and out of prostatecancer.uk most days.

Best wishes

Chigwell2010.

Thanks for reply Chigwell. It looks like your psa moves about a bit. Dh’s went as low as 0.02 where it stayed for several years. Then started to creep up, slowly at first. But it did a jump from 0.7 to 1.7 in 6 months. Then 1.7 to 2.1 in the last 3 months. So is going up faster now. All we can do is wait and see what the consultant says. We know a few people who have had brachytherapy. Their psa has either stayed more or less on the nadir. Or it has slowly crept back up and the cancer returned. One of them is no longer with us as he left returning to the consultant too late. Another has had his prostate removed and reconstructive surgery. Another is about to try hi-fu or other type of treatment. They are all a fair bit older than dh. But as those we know whose psa had risen again all had a return of cancer, it made us assume that would be the case for dh as soon as the psa started to rise. I can’t see why else it would rise as much as it has.