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PSA level after surgery

Posted 09 May 2014 at 17:58

My husband underwent his perenial prostatectomy on 10th March 2014.  Today we have received the post op PSA results which are a little concerning but the blood test was taken just eight weeks after surgery so possibly that will have a bearing on the result.  His level is 0.2.  We understand that to be considered clear it would have needed to be 0.1.

Next Wednesday we are going back to the hospital for the biopsy results.  His original diagnosis was stage T2 with a Gleason score of 3 + 4 = 7.

Not sure if this will mean he will need further treatment.  Just have to wait and see.

Posted 11 May 2014 at 12:48
I understand that PSA can take a while to come down, many months in some cases. With a T2 there is a good chance that they got it all, and many more options available if not.

I am sure that someone with more knowledge that me will answer you soon.

This is a new format of the website and we are all trying to get used to it!

Stay positive! xx

Posted 12 May 2014 at 11:32
Hi I think it is important to discuss this with the Consultant on Wednesday. Eight weeks is about right to have the blood test. 0.2 is probably higher than would be expected at that point. We are all different but you need to ask why they think it is this high.

They may wish to monitor to see if there are any successive rises or they may suggest further treatment based upon the histology. I am sure all will become clear on Wednesday


Posted 14 May 2014 at 15:37

My husband had his follow-up appointment this afternoon and the news seems quite good.  Gleason Score remained at 3+4. The cancer was contained within the prostate with clear margins. PSA at 0.2 was a little higher than ideal but the Consultant said he was not concerned by that as everyone is different and there could be benign cells remaining and pushing up the level. Before surgery my husband's PSA was 14.2

As far as the future is concerned, although there are no guarantees that the cancer will not return, the Consultant feels that the odds are stacked against it.  The lymph glands were not removed but as the cancer was contained and the MRI showed no sign of cancer in the lymph glands we were assured this is ok.  Apparently because my husband had a perennial prostatectomy they cannot access the lymph glands, but it was a necessary option as my husband has extensive scar tissue on his abdomen.

No further treatment is advised at this stage. My husband is to have another PSA test in November followed by an appointment with the Consultant. If the PSA is still ok he will probably be referred back to his doctor for regular PSA tests.

In the next meeting the Consultant is going to discuss ED with my husband. He feels Viagra may just disappoint at this early stage and it was agreed that the main priority is to get fit again.



Posted 14 May 2014 at 21:08
Hi Cricket,

All seems like good new so far. The PSA readings we look for are dependent on what lab does then and how low they go. In one case I was given less than 0.001 ands in another less than 0.2. Which could show a raise. But as done by different labs I was told it was all good. Fingers crossed, eh?

Have faith in your Consultant, and look forward to getting better.



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