Recurrence 6 years after Robotic Surgery

Hi Francji1,

Jumping horses and straddling sheep. You're certainly an animal lover. 🙂

Joking apart, mate, although the PSA rise is only tiny you must be slightly disappointed. I hope this is just a small blip. As you said to be only 0.15 after all those years, is a great result. If I'm ever in a similar position, I'd still hold out until I was at least 0.2.  

Good luck 👍 

Next appointment 3 months is with the consultant rather than the nurse.

Interesting I have graphed my PSA for the last 10 years and it shows a continuous gradient, rather than an exponential growth anyone know if that is significant?

I'm sorry that you got another miniscule rise, mate.

As a matter of interest, if you continued the gradient what whould your PSA be in ten years?

Are you going to defer any possible further treatment unless you reach 0.2?

I think, if I were in your position, and the rise continued at the same small and slow rate, I would wait until 0.4 or even higher before considering further treatment.

I started a conversation on a Dr Scholz presentation, where although he stated he was a little more risky, he advocated 0.4 and even higher as a better point to start further scans etc. If I can find the conversation I put a link in.

Got it:

https://community.prostatecanceruk.org/posts/t31858-When-to-start-salvage-treatment-after-BCR

Edited by member 02 Sep 2025 at 23:39  | Reason: Add link

Hi, mate.

A truly fantastic result! Long may it continue. It must feel like the best Xmas present you could have ever had.

I've been following your story for the past couple of years. You're probably aware that I dread BCR and I'd have really struggled with the uncertainty that you've had to endure.

Im still on the wagon, but will have a couple of zero Guinness to celebrate your good news.

Happy Xmas, pal. 🎅

Francij1, a small movement,and we know from posts on here a movement of 0.01 doesn't really mean alot. Good that you are being closely watched. 

Thanks Chris 

0.2 was my threshold to trigger a PSMA PET scan. Unfortunately nothing showed up even though they know its lurking there somewhere!! The consultant was surprised it didn't show at 0.2 as she said the scans are so good now, so they must be improving all the time. Interestingly when I went for the scan the radiographer told me there two different types of substance they inject and one is better than the other. Apparently,  had the better one. Hopefully you will have better luck when you have your scan, fingers crossed for you.