I had robotic prostatectomy two years ago. my PSA reading was 0.00 for almost 18 months.
At 18 months, post surgery, my PSA started going up, first it was .61 then .96.
Twelve (12) weeks later it went down to .67, now six weeks later it is up to .83, why is it going up and down?
Should I be worried. I am 58 years old.
Thank you for your question. The definition of PSA Recurrence varies in the published literature, anywhere from 0.2 ng/mL - 0.4 ng/mL after radical prostatectomy (robotic or open surgery). Some questions to ask are, were your PSA tests done in the same lab, there is often variation from lab to lab, what was your final surgical pathology (surgical margin status), etc.
Consultation with your urologist is essential to determine a followup regimen.
Ashutosh (Ash) K. Tewari, MD
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