After 7 years post-proton treatment, my PSA continues to increase incrementally. I really had hope that this year I'd return to my nadir reached in 2017, or at least drop a little. In the prior past 2 years my urologist felt I was fighting prostatitis and believes that either that has caused the increases, or that my remaining healthy prostate is just generating a small amount of PSA. Unfortunately, up again for the third consecutive year. By the old ASTRO definition, I'd be declared BF now.
Seeing my urologist today. It'll be interesting to see what he has to say about this 3rd increase. My guess is he'll prescribe an antibiotic and have me retest in 4-6 weeks. I'd like a mp-MRI or PET to see what's going on, if anything, but don't know if Medicare will approve that now, or even if it's appropriate at this stage. My RO doesn't do any testing for recurrence until the Phoenix definition of BF is met which for me would be PSA of 2.75.
Age 69 DX 06/14 1 of 24 cores positive, 5% involved, (3+4), psa 6.2
2nd opinion from JH (3+3)
3rd opinion from UFPTI (3+4)
mpMRI Duke: 50% chance of SV spread
SV fusion biopsy Duke 10/2014 negative
proton at UFPTI 11/14-01/15