PSA levels.

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Initially, my p s a following prostect.Me was undetectable at less than 0.03

It was the same result at 3 months. However, at 6 months had risen to 0.04, at 9 months and yesterday at 12 months it had risen tp 0.07.

My nurse said it was nothing to worry about. However i cant get it out of my head that it was originally 0.03 and there has been two consecutive rises, however small they are, they are significant to me.

Should my doctor be offering any form of investigation or treatment?

Al985

  • I can't answer your question but can say that after RT ending in August 2024 my PSA reading was less than 0.03 steady for the following tests up to July 2025. Last test in January 2026 it was 0.05 but the oncology nurse indicated that it was not of concern. Next test will be in July this year. 

    Rod

  • Hi AI985 and welcome 

    I think too early to say as still very low.

    After another couple of PSA will mean more although because so low prob  nothing would show on a scan

    Hopefully you are meeting a specialist soon and can discuss it further then.

    If it continues to increase then possibly salvage Radiotherapy could be the answer with possibly a scan first.

    Very small increases so hopefully not a lot too worry about for now although I know easy for me to say.

    Hope all goes ok.

    Best wishes 

    Steve 

  • There was a protocol where oncologists waited till psa,reached 0.2 but now tend to act sooner and recommend salvage radiotherapy.  Your numbers are low , a further rise at next test may mean further treatment.  It may not as your numbers may stabilise. Best wishes

  • This situation is all part of a bigger concern. I was not informed about perineural invasion and only found out after I had had nerve sparing surgery. The  biopsy of the removed prostate showed positive margins. I have done lots of research and nerve sparing surgery is contraindicated when perineural invasion  is present in the original prostate biopsy. I was not happy that I was not told of the PNI and only found out by accident. The rise in PSA is in line with predictions of reoccurrence. I am unhappy because if I knew I had PNI, then I would not have had nerve sparing surgery. 

  • Ok, I understand what u are saying, PI when biopsy done so yes HT and RT probably best but no point in dwelling on it although I understand  the anger.

    At least the salvage RT should sort it so just concentrate on that

    Hope all goes ok

    Best wishes 

    Steve 

  • Cheers.

    It is so confusing. The one bonus is surgery hasnt worked but RT is still on the agenda.