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6 years after RALP...

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User
Posted 18 Mar 2026 at 05:15

I had a successful RALP in 2020 (3+4 with clear margins) and have been undetectable (<0.1) on six monthly tests since.

On Monday I had my regular test (same GP surgery, lab etc) and have a result of 1.51! 

GP has referred me under 2 week wait process, based on previous consultants note to action if PSA rises to greater than 0.2.

I have read a lot about biochemical reoccurance and thought that this is typically a slow progression until reaching a reading of 0.2. My significant jump seems rather unusual - has anyone experienced anything similar?

 

User
Posted 18 Mar 2026 at 07:50

Hello, mate.

I've been a regular on the forum for the past three years. I'm particularly interested in  BCR after RARP. As far as I'm aware, no-one who's had RARP and who's PSA has been undetectable for 6 years has encountered such a significant and sudden rise.

I suspect the first step will be a PSA retest, in case this rise is due to a laboratory fault or the result has been incorrectly recorded. In the past, we have had cases of such errors.

Good luck. 👍 

User
Posted 18 Mar 2026 at 09:17

FreeBird, as already said a retest would probably be the first step. It could be an error. My rise after salvage RT took nearly 5 years to rise from 0.11 to around 1.4, but I was showing a steady rise. Good they are fast tracking you. Late BCR, is better than a quick recurrence.

Thanks Chris 

User
Posted 18 Mar 2026 at 14:34
Sorry to hear that Freebird….lets hope it’s an error; I agree it seems a long time post RARP, although a colleagues husband (not on here) went 9 years post RARP before raised PSA and BCR

Fingers crossed for you!

Debbie

User
Posted 18 Mar 2026 at 15:00
Just making sure you actually saw the intervining test results and were not relying on the GPs computer to tell you if action was required?

A jump from >0.1 to 1.5 in 6 months is unheard of for someone without a prostate.

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User
Posted 18 Mar 2026 at 07:50

Hello, mate.

I've been a regular on the forum for the past three years. I'm particularly interested in  BCR after RARP. As far as I'm aware, no-one who's had RARP and who's PSA has been undetectable for 6 years has encountered such a significant and sudden rise.

I suspect the first step will be a PSA retest, in case this rise is due to a laboratory fault or the result has been incorrectly recorded. In the past, we have had cases of such errors.

Good luck. 👍 

User
Posted 18 Mar 2026 at 09:17

FreeBird, as already said a retest would probably be the first step. It could be an error. My rise after salvage RT took nearly 5 years to rise from 0.11 to around 1.4, but I was showing a steady rise. Good they are fast tracking you. Late BCR, is better than a quick recurrence.

Thanks Chris 

User
Posted 18 Mar 2026 at 14:34
Sorry to hear that Freebird….lets hope it’s an error; I agree it seems a long time post RARP, although a colleagues husband (not on here) went 9 years post RARP before raised PSA and BCR

Fingers crossed for you!

Debbie

User
Posted 18 Mar 2026 at 15:00
Just making sure you actually saw the intervining test results and were not relying on the GPs computer to tell you if action was required?

A jump from >0.1 to 1.5 in 6 months is unheard of for someone without a prostate.

User
Posted 18 Mar 2026 at 16:00

Yes, I've always received the results direct from the lab, normally before the GP has even seen them!

I am hoping it is an error as it does appear quite unusual.

 
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