Waiting @ Watching - Need Advice

[noonedawg]

I was diagnosed in 2016. Three spots in Prostate. Gleason 7. PSA 6.5, Had High Dose Brachytherapy. PSA now at 0.3 Both Urologist and Oncologist say I don't need a scan or MRI now. They say watching PSA is best option. This concerns me. Would love some feedback.

Thanks,

noonedawg (UGA fan)

[GP24]

After radiation you will usually wait whether the PSA value rises above 2.0 ng/ml. Below that you do not need to do anything.

[noonedawg in reply to GP24]

Thanks so much. Appreciate your feedback.

[Tall_Allen]

There is no scan that would tell you anything useful in your situation. You just have to monitor PSA. It took me 4 years to reach my nadir PSA (at 0.1). Anything below 0.5 has an excellent prognosis.

[noonedawg in reply to Tall_Allen]

Thanks. Hope your numbers are still good. Appreciate your response.

[Crabcrushe in reply to Tall_Allen]

Is there a comprehensive, chronological and accessible post/artical/paper anywhere pertaining to your efforts? That's precisely what I'm looking for...

[Tall_Allen in reply to Crabcrushe]

Just what's in my profile.

[noonedawg]

I agree. I have mine checked every 3 months.

[Ibdcaptn]

They will tell you that your PC is not considered a recurrence unless your PSA reaches 2 mg/nl..I had seeds and external radiation which dropped my PSA to .08. After a couple of years it started creeping up, ever so slightly .20,.40,.65, 1.0. So whatever was going on, I could tell it was heading to 2. I believe that when it was about 1.3 I convinced my UCSF oncologist to do another biopsy and MRI. What they found was a definite recurrence Gleason 5+4 and stage 4. Very aggressive. I now had the option of radiation or surgery. Very few surgeons in the country will attempt to remove a prostate after radiation. Dr Peter Carroll at UCSF is one of the few and I would surmise is the best. My radical prostatectomy was done 4 years ago and my PSA is stabilized at .06. Last week I had several extensive test done with no traces of any cancer anywhere.

My point is that if your PSA starts creeping up to tha 2 level get that biopsy done, sooner than later. That, along with the skills of Dr Carroll, saved my life.

[noonedawg in reply to Ibdcaptn]

Great advice. Thanks so much. Glad you are doing well.

[kenner]

The PSA scenario can drive a man crazy. Oh my God I'm gonna die. This can be farthest from the truth.Every 3 months is good enough. i let this almost destroy my life..Suicide was looking pretty good as I had my butt carved out which left me chronically incontinent. I survived Suicidal thoughts & my terrible incontinence .LIve LIFE!.Oh crap we are all going to pass some day. I'm 19 years out with a PSA of 0.27

[j-o-h-n]

Let me answer you by saying " Both Urologist and Oncologist say I don't need a scan or MRI now. They say watching PSA is best option". I expect a check in the mail for my services. In US currency that is.....

Good Luck, Good Health and Good Humor.

j-o-h-n Sunday 03/24/2019 2:00 AM DST

[noonedawg]

Cashier's or Certified? Both of mine are saying the same thing. Guess its the best approach.

Have a good one.

Buzz