Raised PSA after operation

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Had my surgery in April this year. First psa test came back non detectable at <0.03.

Just had my 2nd test which has jumped already to 0.5. Threshold was 0.2.

Been in contact with the specialist nurse who has said that this puts me into recurring disease category. Will be discussing it at team meeting tomorrow. 

Just wondering what will happen next?

  • Hello  

    I am so sorry to read of your increased PSA results. I am assuming that after the surgery you had a meeting with your team and they would have told you the histology from the prostate they removed - did they remove it with clear margins?

    As your PSA is rising it looks like they didn't get everything so the next steps will no doubt be a scan to see if they can find where the cancer is followed by a course of Hormone Therapy and Radiotherapy. This of course is my educated guess as I am not medically trained.

    Please do let us know how it goes.

    Best wishes - Brian.

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  • The post op meeting went very well with nothing of concern for the consultant. He said they didn't find anything unexpected but didn't do any nerve saving surgery. 

    Another tumour they didn't know about was found in the post op biopsy 

  • Hello .  I had a prostatectomy in October 2024.  My first 3 PSA readings were undetectable and then suddenly my fourth reading, which was this month, was .67.   My oncologist called me and scheduled a PSMA scan at the end of the month.  He said the high PSA reading indicates a recurrence.   Good luck to you!!

    Hello. I am a 62 year old and was diagnosed with Gleason 7  (3+4) prostate cancer last year (3-2024).  I had a radical prostatectomy 10-2024.  Pathology report showed 1 small positive margin with Cribriform architecture.  No EPE or SV involvement.