PSA 9.4 Active Surveillance

[ArtIntel]

I'm 64. My PSA gradually increased from 5.1 in 2016 to 5.8 in February 2021; now, one year later it's up to 9.4, in February 2022.

Everything down there seems to be working,...I have no symptoms except for an enlarged prostate and frequent urination but only during the day, and I account that to taking a handful of supplements and drinking a lot of water. I just asked my primary doctor to ordered an ExoDx Prostate (urine test), It's supposed to determine if a biopsy is necessary and a Cytokine blood panel, which measures inflammation. I have been doing active surveillance.

I would appreciate any advice!

[Hidden]

Probably an MRI

[Tall_Allen]

If you are on active surveillance, you will get more appropriate advice from a site that is not geared to men with advanced prostate cancer. You might try this one:

healthunlocked.com/prostate...

[ArtIntel in reply to Tall_Allen]

Thanks, Tall Allen

[j-o-h-n]

Act soon but do NOT panic...... See a good Urologist and watch this site....If you don't know a good urologist.... ask here....

Good Luck, Good Health and Good Humor.

j-o-h-n Saturday 02/19/2022 12:28 AM EST

[wierdwood]

Soo...If the ExoDx urine test is negative you still may have Gleason 6 cancer. If positive a MRI fusion biopsy is a good idea. Normally, you would not be considered to be on active surveillance unless you had biopsy confirmed PC.Fred

[ArtIntel]

I am curious to ask, since this is an "Advanced Prostate Cancer" group.. Considering no two cases are alike, Is there anything you would have or could have done differently in the way of lifestyle, medication, treatment options, etc.. Btw, If anyone has recommendations or referrals for doctors, hospitals, etc., I live in Los Angeles.

[Bethpage]

My husband's PSA rose from 4.1 to 14 over 11 years' time - 2003 to 2014. He also had BPH symptoms that were bothersome only during the daytime. The tumor was hidden in the apex (bilateral) and was found only in post-surgical pathology. Over those 11 years, his PSA decreased a time or two, but the overall upward trend was steady. He did have a tumor that simply was never identified - even the same year as his prostatectomy.