PSA .3 5 weeks after prostatectomy

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User

Posted 21 Jan 2025 at 01:10

My first PSA result after radical prostatectomy by open surgery (New Zealand) has come back at 0.3, 5 weeks after the operation.

I will be having my first followup with my surgeon in a few days so I do not have any histology information about the margins of the removed prostate.

How concerned should I be at that PSA level for five weeks after surgery please?

User

Posted 21 Jan 2025 at 10:43

Hello mate.

Unfortunately, as far as I'm aware, a reading of 0.3 indicates a very small amount of cancer may have been left behind. Your histology results may shed more light on this.

User

Posted 21 Jan 2025 at 14:03

Kiwi, just clarify 0.3 or 0.03 or even <0.03. we have had many mis reported post op psa values and people getting unnecessarily anxious. In the UK the guidance is to wait at least six weeks for the first PSA test. Check that result, who gave it to you and was it in writing.

As already said your histology will hopefully reveal more.

Thanks Chris

User

Posted 21 Jan 2025 at 16:08

My Surgeon recommended an 8 week wait before first PSA test. I imagine will be a retest.

User

Posted 21 Jan 2025 at 21:50

Definitely 0.3 ug/l . Will update after visit with surgeon tomorrow.

User

Posted 22 Jan 2025 at 00:01

Originally Posted by: Online Community Member

Definitely 0.3 ug/l . Will update after visit with surgeon tomorrow.

Good luck! Make a note of any questions you want to ask and maybe ask to record the consultation. It’s very easy to forget things in the heat of a consultations,

User

Posted 22 Jan 2025 at 00:01

That’s very soon post op. My consultant said 10 weeks is optimal. Had mine at that point which came back as undetectable.

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