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I had a RP in 2018, no radiation following removal. My PSA scores after surgery were 0.04. In Jan. 2021 the levels began slowly rising.
Jump ahead to Jan. 2022 level was 0.08.
July 2022 my level went from 0.14 to 0.32.
I will be contacting the urologist for advice and opinion.
My question, Is this possibly a recurrence of my prostate cancer, which was Gleason score of 7 and PSA was 15.0
It is definitely a biochemical recurrence. Talk to a radiation oncologist, not a urologist.
Thank you but should I call the surgeon and at least discuss my options?
No. There are no surgical options.
From 0.08 to 0.32 in 6 months, or a doubling time of approx. 3 months, an aggresive BCR is brewing. After a confirmatory PSA, as errors are not unheard of, a PSMA PET/CT should be considered as next step. I am in a similar, albeit lighter, stage (9.5 months doubling time) and if interested you can find out how I am doing by checking on my posts.
You need to be in the care of an oncologist who specializes in Pca not a urologist as has been suggested. Recurrence after RP alone is too common to wait around.
Hi there, I was a bit like you, but the recurrence happened earlier. After surgery in April 2018, PSA came at 0.04. 2 year later it started scrolling up. I had radiation to the pelvic area and still not success. So now I am on hormonal therapy, God knows till when?!You should rush to a doctor please, as you passed above the mark of recurrence already.
tsddad ....I'm exactly the same as you! RP 20186/2021 PSA 0.108
12/2021 PSA 0.219
3/2022 PSA 0.289
Had PSMA PET/CT found nothing
Went to Dana Farber Boston 4/2022 started Lupron/Casodex PSA now <0.02
Started with T at 505 4/2022 now <3
Radiation starts 9/2022 for 8 weeks
The journey/fight continues...Never Never Never Give UP!!!
Another person with the same story as you. Salvage radiation is the correct next step. Very few and/or mild side effects. The lower the PSA the better the results. If over 0.70 prognosis is worse. I know many on here are anti-supplement, but while you are waiting on your appointments, and start of SRT or ADT prior to SRT, I would start taking BROQ (avail on Amazon) which was used in the study right away at the dose that was successful in the study. In the below study, basically stops progression. Again, this is not in place of SRT, but stop it from getting worse NOW! A cup of pomegranate juice also has some good results so would not hurt. Here are the studies. Good luck.
Sulforaphane - pubmed.ncbi.nlm.nih.gov/259...
Pom Juice - pubmed.ncbi.nlm.nih.gov/168...
Thank you everyone for your responses. I have a call in to my Dr. Hopefully will hear from him today
Jump on this ASAP with an oncologist, not urologist.
PET is scheduled for 8-18-2022.
PSA 8 months after EBRT
Is it time to see a Radiation Oncologist? 
PSA Too Low To Be Treated With Radiation?
PSA level from 4 (Dec 2023) to 22 (present)
Slight uptick in PSA
