PSA levels post prostatectomy

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Good morning. Can anyone give some  insight into what psa level would trigger recommendation for Salvage radiation treatment. Some sources say nothing is done till 0.2 others mention much lower thresholds. Confused. Thank you all

  • Hello  

    It depends on the individual and the hospital dealing with you but the general rule of thumb is:

    * A PSA rising to 0.20 or above.

    * Two PSA rises above your nadir (lowest) reading.

    I hope this helps.

    Best wishes - Brian.

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  • Hi Brian, 0.2 in the case of prostatectomy patients. Does nadir and rises apply to radiotherapy patients? No more questions, leave you to enjoy your evening. 

  • Hello  

    After Radiotherapy your nadir reading is the PSA test taken 18 months after you have completed the treatment.

    Intervention is usual if:-

    * Your PSA rises 2 whole points above your nadir reading.

    * You have 3 consecutive rises in a row.

    * 2 rises in a row where the PSA is doubling.

    Again some hospitals treat individuals differently - I am on a rising PSA (2 so far) and have agreed to return to treatment when it reaches 10.

    I hope to enjoy my evening later as I am off for "a snifter" with a couple of my mates

    Best wishes - Brian

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    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

    Strength, Courage, Faith, Hope, Defiance, VICTORY.

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  • Thank you Brian, enjoy your libation.  Well deserved and best wishes in the battle against the b**t*rd. S