Rising PSA

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Hello, im new here. I'm speaking of behalf of my dad, he had his Prostrate removed in Aug 2025, the following PSA test after removal was 0.02,

Dad's just had his 2nd PSA results in at 4.57, there doesn't seem to be much urgency from the Hospital, he already had an appointment made for 25th March and they dont feel the need to see dad any qicker. Is this normal, we're extremely concerned considering the rapid PSA result, trying to stay positive and stay away from Google... 

Dad had the radical surgery, by robot and suffered 2 weeks after surgery, when he sneezed and his bowel came out of the wound, so he went under again to correct the failed stiching from the 1st surgey.

Sal & Kay

  • Hi Copper top

    Yes understand the worries about the PSA result.

    But you need another one in a few weeks just to confirm a rapid rise or not.

    Perhaps you could ask your GP for one if the hospital won't 

    do one.

    Best wishes 

    Steve 

  • Thankyou Steve, we will get onto Dr's and chase this if no sucess at the Hospital this time around.

  • Yes, just fingers crossed an anomaly 

    Steve 

  • Just a thought, but has he had any antibiotics lately as they can raise the psa?

    Gina

  • Hi Gina,  no antibiotics since summer last year, after his surgeries.

  • Hello Sal & Kay ( 

    A warm welcome to the online Community - although I am so sorry to find you joining us.

    I would not be too happy with that result, my thoughts are:

    * After the surgery - Dad would have had a review with the surgeon - did he say he had removed the prostate "with clear margins"?

    * There will be a "shared agreement" about Dad's care between the hospital and GP - before you dive in and ask for a second PSA test you need to check WHO is doing Dad's PSA tests - you don't want to get on the wrong side of his consultant.

    * Yes there are a number of reasons why Dad's PSA could be high - before the test had he been exercising or been at the gym, riding his bike or even taking any new medication?

    * What is the appointment on 25 March at the hospital for and who is it with? (in all honesty 11th to 25th March isn't a long wait - it may feel like it).

    I know my post sounds a little negative but I am trying to help - IF Dad need further treatment - this delay will not affect the outcome.

    Please do come back with any questions and yes, please do stay away from Dr Google!.

    Best wishes - Brian.

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  • Hi Brian,

    Thanks so much for your reply,

    So yes, Dad's margins were clear, and PSA level 0.02 after the surgey.

    Unfortunately his recovery didn't go to plan, and he needed a second operation just 2 weeks after the radical surgery. This was Aug 2025

    As for the PSA tests, dad mentioned to his incontinence team that he felt a little forgotten about as noone had been in touch, after this comment, he was made an appointment for his 2nd post surgery PSA test, which has given the 4.57 result.

    No exercise or change in daily activity, if anything this has reduced due to incontinence from the op, that dad seems to struggle with.

    His appointment on the 25th is with the consultant.

    So fingers crossed for some clarity, trying to keep an open mind.

    Thankyou - Sal

  • Hello Sal ( 

    Thank you for your reply. In view of the rising PSA I would assume the Consultant will want a further PSA test and also a scan to see where the little bast*rds are hiding in Dad's body. Just to reassure you though it's all very treatable.

    We all have our own questions to ask, so have your list ready for the consultants meeting - this list may help you:

    Questions-to-ask-your-healthcare-team.

    I hope this helps - happy to answer any further questions.

    Please do let us know how you get on.

    Best wishes - Brian,

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  • Hi Sal ( ), thanks for making contact and I am sure we can help.  To me the rise is worrying but not massively urgent, so a short wait isn’t usually a problem (other than for your own blood pressure!).  The consultant (hopefully an oncologist or urologist) will want to understand where any rogue cells are lurking, so some sort of scan will probably be organised and after that, ideally hormone therapy introduced to stop any progression.  Please come back once you get further info.

    Best wishes, David

    Please remember that I am not medically trained and the above are my personal views.