Orchiectomy and Psa: Can anyone who has... - Advanced Prostate...

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Orchiectomy and Psa

Knittingque profile image
9 Replies

Can anyone who has had Bilateral Ochiectomy tell me if there is a certain psa level required before surgery can be done.

Thanks Guys

Knittingque

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Knittingque
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9 Replies
spencoid2 profile image
spencoid2

i don't think there is a certain PSA level. just a desire to eliminate ADT. if your PC is castrate sensitive and your PSA is rising or there is other evidence such as radio graphic progression, reducing your testosterone by any means is beneficial whether by ADT or orchiectomy, your choice.

Knittingque profile image
Knittingque in reply to spencoid2

Thanks for your reply appreciated

ctflatlander profile image
ctflatlander

I had mine done with PSA at 1.0 and 2 Mets 3 years ago. PSA slowly declined over 2 years to .35 but it has slowly increased to .60 over the last year. Still have 2 Mets. I'm considering Xtandi or Doci chemo next. Good luck on your decision.

Eugmn profile image
Eugmn

I had an orchiectomy last October. There was never any mention of a specific PSA that I needed to have. I simply done it because I was tired of Lupron injections that I had been getting for 5 years. My testosterone levels are the same now as when I was on Lupron.

RCR38 profile image
RCR38 in reply to Eugmn

Hello I am currently considering an Orchiectomy to get off the poison of Lupron. Did you experience any difference in side effects between the two? Also has anyone had their T not reduced with an Orch? Dr. said if that happens I have to go back on Lupron.

Eugmn profile image
Eugmn in reply to RCR38

I had the Orchiectomy about four months ago. I haven’t really noticed any difference as far as side effects, the only side effects I really felt with all my years on Lupron was losing my muscle and gaining a little more body fat. Since it’s only been a few months, it’s hard for me to say for sure of any of that has changed. I have had my testosterone checked, and it is basically the same as when I had Lupron. An odd thing that I don’t know if his related or not is my PSA levels have risen substantially since I had the orchiectomy. I finished 10 rounds of chemo late August last year, and my PSA was down quite a bit. Had the Orchiectomy in Oct. when I check my PSA in November, it had nearly doubled.

j-o-h-n profile image
j-o-h-n

Of course using Knitting needles for the procedure is out of the question...

Good Luck, Good Health and Good Humor.

j-o-h-n

Cooolone profile image
Cooolone in reply to j-o-h-n

Chopsticks work much better :D

j-o-h-n profile image
j-o-h-n in reply to Cooolone

Now.... there you go............Good thought........Thanks

Good Luck, Good Health and Good Humor.

j-o-h-n

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