Hi everyone,
My husband had a prostatectomy in 2023. Gleason 7 3+4, T3a and an undetectable PSA on the first PSA test afterwards which remained undetectable for 18 months. He then had a very quick rise to 0.4 within 6 months. He was then given radiotherapy. His first PSA test has shown a reduction to 0.2. From what I have read (appointment with nursing team next week) that it's very much a watch and wait. My concern is the rapid rise he had in his PSA before radiotherapy. Has anyone had any experience of this? Is the watch and wait theory because there is a chance that his levels may go down even further? Just trying to get as much information as I can before the meeting. Many thanks!
Hi Fredington
Sorry the surgery didn't work, hopefully the Radiotherapy has sorted it.
I think .2 is ok for now, just fingers crossed that it doesn't start increasing although a small increase ok.
Will be difficult to tell for a good few months but presumably PSA will be done every ,3 months.
You're concerned about the PSA rise before RT but it probably just means surgery wasn't 100% successful.
Just as long as no ongoing increase will probably be ok.
Good luck
Steve
Hi Fredington,
I'm not sure if there is a difference between having RT as a first treatment or when it follows a prostatectomy, but in the former, it continues to work it's magic for up to 18 months after treatment. If that's the case (depending on when he completed his RT), then there's every chance that the PSA will continue to drop.
Good luck with the upcoming meeting.
Brian
no, but I'm not sure why it is given in some cases but not in others?
Actually that's a good question.
Didn't think HT given with salvage RT , not sure why that is, would be worth asking the question perhaps
Steve
I do think HT is offered with Salvage Radiotherapy particularly when psa has risen to 0.5 ish at commencement of treatment. It appears that HT may be less effective when treatment commenced at lower psa values. Not a qualified medical opinion.
Thank you, will ask this at the next appointment. Here’s hoping it keeps dropping
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