Hi, kph.
Is there some confusion somewhere, or am I just having a bad day at the office? 🙂
On 3 Jan 2022, you posted:
Originally Posted by: Online Community MemberI had the Turp procedure and the histology revealed the presence of Gleason 3 +3 Prostrate Cancer staged at T 1b - Pirads 3 my PSA is at the moment 0.20 what are the next steps likely steps?
https://community.prostatecanceruk.org/default.aspx?g=posts&m=263265#post263265
Have you had two TURP operations?
If so was this the second?
If so when was the first?
And what was the PSA level then.
I'm wondering if TURP and RARP are being mixed up? TURP is 'shaving' the prostate. It typically reduces the pre-surgery PSA levels by 70%. RARP removes it completely. Ideally post surgery PSA should be undetectable.
After RARP, the figures you mention, a rise from 0.03 to 0.2 would trigger further treatment, it would indicate possible biochemical recurrence of cancer. (No prostate, should equal no PSA. But, PSA is still being produce, let's find out where)
If you've had TURP twice, you've still got a prostate producing PSA. If the post surgery PSA level after the first was 0.03. Then years later, after the second TURP, the post op level of the second was 0.2. Although it's risen, at those levels, I see no reason for concern. In fact, it seems still very low.
At present the information is so confusing I'm beginning to confuse myself. I might have a lie down. 🫤
Edited by member 03 Nov 2026 at 21:11
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