latest psa rising faster, 0.22

User

Posted 19 Jun 2026 at 17:41

psa up from 0.15 to 0.22 in 4 months. That's the biggest rise since it became detectable at 0.06 in December 2021, 4.5yrs ago.

14th Jan 25 test date, psa 0.12. Still slow.
10th Jun 25 test date, psa 0.15. Quite an increase, just had a bad dose of Covid.
7th Oct 25. psa 0.14. Down 0.01, mustn't grumble.
10th Feb 26. 0.15. Nurse says doing well.
9th June 25. 0.22. A larger rise. Seems to happen in June. Is it real? Nurse says will discuss with Consultant.

Next test to be in 2 months at my request. I feel it'll be lower next time as jumps have happened twice before and then gone down. It's a warning shot. Next test in 2 months, nurse wanted 3 months. I'm not wanting it to go over 0.25 without intervention.

User

Posted 20 Jun 2026 at 01:51

Peter, hopefully you will get a scan that may show something, some hospitals will not test below 0 3. I had the educated guess salvage RT to the prostate bed at Just over 0.23, although some cancer was in the bed but the cancer was already outside the bed. SRT didn't do me any favours and I may have been better off waiting and going onto HT etc.

Thanks Chris

User

Posted 20 Jun 2026 at 11:34

Hi, Peter.

We discussed, when's the 'best time' to start salvage treatment, in this conversation.

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

You contributed to the discussion, so it won't be particularly helpful to you, but it may help others in a similar position.

Although, over 3 years after surgery, my PSA is undetectable, I still have quite a high chance of recurrence. Like you, if I ever needed salvage radiation treatment, the thought of the hassle travelling to and parking up at the hospital, would cause me far more concern than the treatment itself.

As an initial treatment, I was offered both radiotherapy, 30 visits, and surgery. I was so anxious about the number of radiation visits required, that they offered only 20. However, that was still too many for me to deal with, that in the end I opted for surgery.

Since then SABR, only 5 visits, has become more common as a primary treatment. I've often wondered whether it could be or will ever be used, to reduce the duration of salvage treatment?

Edited by member 20 Jun 2026 at 11:44 | Reason: Additional text

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User

Posted 20 Jun 2026 at 01:51

Thanks Chris

User

Posted 20 Jun 2026 at 08:39

Cheers Chris, I was hoping to put off SRT another year or maybe more but if it's offered I don't think it should be refused if the psa remains over 0.2. The hospital I attend, Preston, is a total nightmare for transport and car parks and I live quite a way out, 30 visits will be worse than the treatment. All the best, Peter

Edited by member 20 Jun 2026 at 08:41 | Reason: Not specified

User

Posted 20 Jun 2026 at 11:34

Hi, Peter.

We discussed, when's the 'best time' to start salvage treatment, in this conversation.

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

You contributed to the discussion, so it won't be particularly helpful to you, but it may help others in a similar position.

Since then SABR, only 5 visits, has become more common as a primary treatment. I've often wondered whether it could be or will ever be used, to reduce the duration of salvage treatment?

Edited by member 20 Jun 2026 at 11:44 | Reason: Additional text

User

Posted 20 Jun 2026 at 12:10

Thanks Adrian. It was a good memory jogger and it's a good thread. Nothing has changed since then except the 0.22 has now been reached, but earlier, if that changes something. It might be exactly 10yrs after my op when I need treatment, next Dec. Although the next psa test will tell.

On SABR for SRT I read that it needs more evidence and it needs a precise location to aim at. So a psma detection would be needed and apparently the prostate bed isn't as stable as other areas so a broader beam is needed and a location 'guess' needs a much broader beam, perhaps including the lymph nodes. I doubt it'll be used on me and would I want it not to cover a wider area. Thanks for the info. Peter

User

Posted 20 Jun 2026 at 15:24

Peter ,I took my fil to one of our hospital sites yesterday, I gave my self plenty of time to park, I also had the knowledge that I could just drop him off and then find a space. We sat in the carpark for 15 minutes until a space came available. You could see the look of panic on peoples faces trying to find a space. The two hospital sites here have a type of park and ride bus service that links the hospital sites. Current charges are £5 for 2 hours and £7.30.for 4 hours. A ham salad roll is £5.50.

Thanks Chris.

User

Posted 20 Jun 2026 at 19:57

Peter, that's pretty much what happened to me. PSA becoming detectable then rising slowly and dodging around in the teens before finally reaching 0.2.

However if the "2016" in your name is the date of surgery, you have done better lasting 10 years. I had SRT at 6 years. In my case 20 sessions. If there is any chance of you having the new hypofractionated approach (just 5 sessions of RT, and no hormones) then grab it with both hands.

No signs of PSA doing anything at all in the 4 years since RT in my case.

User

Posted 22 Jun 2026 at 06:04

Peter I Just read this and spoilt my holiday as I have mirrored your results and have my next PSA when I get back!

User

Posted 22 Jun 2026 at 09:23

Sorry about that I thought about our alignment. I've had jumps before usually followed by reductions. One last year after covid. In late May this year I had food poisoning. Yours will keep the trend in my opinion, and that mine will come back down is keeping me calmer.

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