PSA bounce: I am 14 months post SBRT at... - Prostate Cancer N...

Prostate Cancer Network

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PSA bounce

ODave profile image

I am 14 months post SBRT at UCSF. I had my latest PSA Friday it was 1.134 up from .740 6 months ago. Is this a normal bounce? The Dr said not to worry about it (easier said) and test again in 6 months.

12 Replies

That's a bit of a long time for a "bounce."

ODave profile image
ODave in reply to Magnus1964

I was getting tested every 3 months, once it went below 1 Dr said check every 6.

NOCanceros profile image
NOCanceros in reply to ODave

My advice check every 3 months.

Magnus1964 profile image
Magnus1964 in reply to ODave

Request that your PSA be tested every 3 months.

A total of 24/47 (51.1%) patients had ≥1 PSA bounce. Median magnitude of PSA rise during bounce was 0.50 ± 1.2 ng/mL. Median time to first bounce was 9 ± 7.0 months. Median bounce duration was 3 ± 2.3 months for the first bounce and 6 ± 5.2 months for subsequent bounces. Prostate volumes <30 mL were associated with a decreased likelihood of bounce (P = .0202), and increasing prostate volume correlated with increasingly likelihood of having ≥2 bounces (P = .027). Patients reaching PSA nadir of ≤0.1 ng/mL were less likely to experience any bounce (P = .0044).

Smart doctor.

ODave profile image
ODave in reply to Tall_Allen

I’m hoping :)

My “bounce” didnt happen until 30 months .7 to 1.1 now .25 after 48 months.

Someone commented last night, said no it wasn’t normal but the post is now blank and says posted 2022y ago? Hows that happen?

Listen to your doc...

At a year out from HDR-BT my PSA shot up to 1.720 from a low of .841 just 6 months earlier. Doc says it's the bounce and should settle back down in another 3 to 6 months. No worries.

read T_A again......

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Good Luck, Good Health and Good Humor.

j-o-h-n Thursday 11/11/2021 7:12 PM EST

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