Concerned carer and PSA levels

Hi GC Gloria 

What were the PSA results after surgery?

Suppose the good thing is they are very slowly going down,  so as long as that continues probably leave for now.

A scan may not show anything so wait and see if continues its downward trend.

Just my opinion obviously, perhaps see what others say

Best wishes 

Steve 

Relax GC Gloria 

The trend is down, that’s the holy grail of PSA. Fantastic.

There’s no need to worry about what’s next because the consultants will be very happy with a negative trend. The numbers are so small too. Under two is again fabulous. My PSA is over 700 so I’m very jealous.

But seriously, please don’t worry about your spouse.

I don’t know why you’d need any radiotherapy unless there was a lot of pain somewhere. That would require a test or scan, so try and relax.

Your worries are natural and I’m glad you asked for advice. We army doctors but some of us are very experienced in the symptoms and treatments, they, I’m sure will be along very soon. But make a cuppa and settle down to a bit of tv.

Take care the two of you.

Good luck

Hello GC Gloria 

Thank you for the post - I assume the histology after surgery showed negative margins.

The normal rules for intervention are 3 rises in PSA after surgery or a rise to 0.2. I have also know intervention when PSA levels have been detectable for 3 PSA tests in a row (like your spouse's - but I have never seen them going down! but it's only a drop of 0.01).

I am pretty sure you will be called in sooner than later for a course of Hormone therapy and then a blast of radiotherapy to the prostate bed.

I hope the above gives you some re-assurance. Do let us know how he gets on.

Best wishes - Brian.