Psa raise 5 years after brachytherapy

I thought I’d add latest psa readings on here incase anyone is following, I know there were a few others who had brachytherapy at a similar time to dh. 7 years ago. Almost every psa test he has it has raised (was fine the first few years) It was 0.99 6 months ago, that was slightly lower than the time before. But his results this time are 1.8 so a big jump. He was told when it reaches 2 he will need to return to the consultant. I guess we just wait until the next test in 6 months, but dh has put a call through for the consultant incase he will speak to him now. 

Thanks. The lowest psa reading was about  0.07 (I think, can’t remember the exact reading, but definitely definitely zero point zero something) So the consultant said when it gets to 2 dh would need to return. As it has almost doubled in 6 months I’m assuming that’s definitely not good news. 

Edited by member 01 Dec 2022 at 16:43  | Reason: Wrong word

Hello. I thought I’d post an update incase anyone is following. Dh spoke to the consultant about his psa slowly rising. He suggested another psa test in 3 months. So 1.7 last time, 3 months later it is 2.1 so that is 2 above the nadir. The consultant said he’d see him again once it goes over 2. Dh is reluctant to phone the consultant with the latest result though. We knew it was going up but the jump from 0.9 to 1.7 in 6 months was a much bigger jump than it had been doing. Dh will phone him next week. It’s 8 years since the brachytherapy. 

Wiosal, I think the next step is a scan. They might want to do a bone scan first, but unless it shows it's incurable, what you really want is a PSMA PET scan to identify exactly where the cancer is. Hopefully, that will show one or two spots outside the prostate which can be zapped with SABR. If it's inside the prostate, options might be focal therapy (if the cancer is focal, i.e. one or two spots) or salvage prostatectomy.

Just to make you feel a little better about this, the PSA rise has slowed down in the last 3 months, not speeded up. It is the doubling time that is measured, not the numbers so your OH's doubling time in the second half of 2022 was 4.7 months and for the last 3 months is 9.6 months

Hope you get some reassurance or certainty soon

PSA reading this week is 2.8 so that’s up by 0.7 in 3 months. So still on the up. DH will phone the consultant Friday morn. to see what he says. (Too busy today and tomorrow, apparently) The consultant said 3 months ago that once it’s up to 2.2 he will need to go for a MRI scan. No idea what happen next as DH has already said he won’t have another biopsy. I’m sure it is very painful to have a biopsy but I can’t see that there’s any other way to tell what grade cancer it it, that’s if it’s cancer again, which I’m sure it will be. But I guess we can think about that when it comes to it. 

Thanks. I am not that worried about his decisions. It’s up to him really. He’s in no hurry to phone the consultant with his psa result. It is actually the radiologist he’s been speaking to. So will just wait to see what he says. 

Latest psa 4.9 that’s quite a big jump. DH said nothing was seen on MRI but I didn’t hear the telephone conversation. So he was sent for a psa PET scan. We are now waiting for the next telephone consultation for the results. DH says PSA has almost doubled in 3 months. I think it’s more like 4 months or so. All we can do is wait now to see what is suggested. DH is convinced it is in his spine, he’s had a bad back for many years, it has been much worse the last few months, but i am sure it won’t be in his spine. But I can understand why he thinks the worst all the time. I am sure something would have shown on the first MRI if it were bad news. Will update when we know more.