Prostate Cancer Expert Forum
request guidence after Redical radical prostatectomy
About This Forum:

This forum is for questions about: Advanced or Metastatic Prostate Cancer, Biopsy, Bone Scan, Blood in Urine or Semen, Benign Prostatic Hyperplasia (BPH), CT Scan, Cystoscopy, Erectile Dysfunction, Hormone Therapy, Incontinence, Pain (abdomen, low back or hip), PSA Test, Prostatitis , Radiation Therapy, Rectal Exam, Recurrent Cancer, Risk Factors, Screening, Staging (Tumor size; Metastasis), Surgery, Transrectal Ultrasound, Urinary Difficulty or Burning, Urinary Urgency (Leaking), Watchful Waiting.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

request guidence after Redical radical prostatectomy

Hi all,
i am new to this and very happy to read topic and suggestion on this forum.... really helpful...Many Thanks to all !!,
i have an issue related to my father, he is 68 and last year he was diagnoce with Prostate cancer and between different types treatment and recomendation we prefer sergery (surgery) (radical prostatectomy)
the tumer was 4.5CM and comlete remove of prostate gland as well little surrounding part also for precaution and possibilities doctors also did well without any issue !!! everything was in last sept 2009

end of first month after radical prostatectomy - PSA was  0.03
                         end of second month   -         PSA was  0.1
                        end of  Third month-               PSA was 0.3
                        end of  six  month-                PSA was 0.6
                         end of  9 month       -            PSA was 0.8
       ( 2 week ago) end of 12 month     -           PSA was 0.8

Now according to above report since last two report PSA is 0.8 which is steday which was previously increasing.
the question is if there is No prostate gland is in the body.technically it shoud be 0.00 but here it shows in report.

my question is why this PSA veriying ???
is this sign for any thing further treatment OR normal?? should we check something else ?? any suggestion .
what is acceptable range of PSA after radical prostatectomy ????

we consult doctors but no doctors have any Firm answers and everybody say few laboratory test as well wait and watch. !!!!

Regarding my father's diet he is PURE vegitarian( strict vegitarian) , NON somoker and NON drinker as well non junk food eater during his whole life !!!

here is read so many expert doctors suggestions and advices i would like to request you please help me to understand this issue and if any more data of report required i can give it also.
i will appriciate your experts help and suggestions !!!

Thanks
Neel
                        


Related Discussions
242579_tn?1252114771
Thank you for your question. From what you describe, your father has undergone radical prostatectomy and is experiencing a rise in PSA shortly after his surgery. Currently you are concerned with local recurrence and metastatic disease. Predictors of metastatic disease would be 1) Gleason 7 or greater 2) PSA rise within 2 years of surgery 3) the rate at which the PSA is doubling (is it less than 10 months?).

Imaging studies and a repeat PSA are warranted. It is important that each PSA is performed by the same laboratory to minimize variation. Your father has eclipsed the threshold of biochemical recurrence and consultation with a medical oncologist and a urologist is recommended. Salvage radiation therapy could be a treatment option.

Kind regards,

Ash Tewari, MD

http://www.nycrobotics.com

This forum is for information only. The contents, such as graphics, images, text, quoted information and all other materials ("Content") are provided for reference only, do not claim to be complete or exhaustive or to be applicable to any particular individual's medical condition. Users should always consult with a qualified and licensed physician or other medical care provider. Users are warned to follow the advice of their physicians without delay regardless of anything read in this forum. The Weill Cornell Prostate Cancer Institute assumes no duty to correct or update the Content nor to resolve or clarify any inconsistent information which may be a part of the Content. Reliance on any Content is solely at the User's risk. This forum may contain health or medically related materials considered sexually explicit. Users are warned that if they may be offended by such Content, an alternate source of information should be found. Publication of information or reference in forum to specific sources such as specific products, procedures, physicians, treatments, or diagnoses are for information only and are not endorsements of the Weill Cornell Prostate Cancer Institute.
Blank
Continue discussion Blank
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
How to Silence Your Inner Critic an...
Apr 16 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eaters: How to Silence Yo...
Mar 26 by Roger Gould, M.D.Blank
1344197_tn?1392822771
Blank
Vaginal vs. Laparoscopic Hysterecto...
Feb 19 by J. Kyle Mathews, MD, DVMBlank