Darn these bounces

[Lingbed]

HDR Brachytherapy as monotherapy. These bounces make me a bit nervous.

[Tall_Allen]

It is nerve-wracking indeed. Maybe this will help:

prostatecancer.news/2018/03...

[Lingbed in reply to Tall_Allen]

Tall Allen,

I have done quite some looking online, but the link you provided is for sure the most helpful. Thanks very much for providing that link and for all you do on this site.

Hopefully I will find Nadir someday.

[Volcanologist]

I had HDR Brachytherapy in March 2022 on a 2.0 cm lesion 3+4 Gleason score. My PSA bounced around similar to yours and has settled around 1.3. I wouldn’t be too concerned unless it consistently increases, and get back over 2.0. Also, there is data that indicates if you had sexual intercourse 24 - 48 hours prior to PSA draw it may cause you to have a higher reading than typical.

[OldTiredSailor in reply to Volcanologist]

This probably does not help much but this is my "bouncing" experience for 78-months after RALP in August 2018 (PSA 10.5, epe, +margins, 3+4)

2-months baseline 0.021 ultrasensitive PSA

3-months down 14% to 0.018

12-months up 175%

3-months down 4%

6-months up 44%

6-months down 25%

18-months up 100%

6-months down 10%

at 5-years post surgery with a PSA at 0.090 and decreasing my oncologist said "nothing interesting happens after 5-years so let's put you on an annual test schedule"

12-months up 115%

2-months no change

6-months up 100%

3-months No change

Currently at 0.400

Now trying to schedule a PSMA/CT Scan