PSA level after Radical Prostatectomy

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PSA level after Radical Prostatectomy

by WilbertW on Thu Jul 22, 2010 09:35 PM

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Had my prostrate removed May 8th , 2010. My first PSA first PSA after surgery came back at .3 , should be zero after surgery. What now docitors think I should have radiation and Lupron. I just don't know enough to know if this is the way to go.  By the way my post op gleason score was (4+4).

 

 

 

 

RE: PSA level after Radical Prostatectomy

by skidan on Thu Jul 22, 2010 10:05 PM

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On Jul 22, 2010 9:35 PM WilbertW wrote:

Had my prostrate removed May 8th , 2010. My first PSA first PSA after surgery came back at .3 , should be zero after surgery. What now docitors think I should have radiation and Lupron. I just don't know enough to know if this is the way to go.  By the way my post op gleason score was (4+4).

 

 

 

 

Personally I would wait for another test to see which way it might go. I personally know of someone after surgery that had a PSA of 0.17 and it stayed that for the last 9 years. It is possible for other factors to register a PSA, some tissue or fat, I even heard women could have a detectable PSA.  Were your surgical margains clear?  With a Gleason of 8 you maybe will have to deal with more treatemnt. In the meantime look at diet and supplements. It has been effective for me and others.

Dan

RE: PSA level after Radical Prostatectomy

by WilbertW on Thu Jul 22, 2010 11:01 PM

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Thank you Dan for the reply. What diet and suppliments? I have been taking prommagate juice everyday. I did have SV invasion on 1 side.

 

Wilbert

RE: PSA level after Radical Prostatectomy

by skidan on Fri Jul 23, 2010 12:06 AM

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On Jul 22, 2010 11:01 PM WilbertW wrote:

Thank you Dan for the reply. What diet and suppliments? I have been taking prommagate juice everyday. I did have SV invasion on 1 side.

 

Wilbert

Wilbert,

   I would switch to pomegranate extract, without the sugar and additives. You should check your vitamin D levels, most cancer patients have low D. You need adequate D in order for your immune system to activate your T cells.  You should eat organic as much as possible, limit meat and milk. Stay away from soda pop, filter your water. Some great anti cancer foods are asparargus, broccli, raw red cabbage, turmeric, walnuts, almonds. You are what you eat. If you would like to know more of what I did you can visit my web site at

www.alternativeprostatecancer.com

Hope this helps, I would never go down the path they want you to go down. Personally I am allergic to their chemical castration ideas.

Dan

RE: PSA level after Radical Prostatectomy

by PopPop on Fri Jul 23, 2010 12:42 AM

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Wilbert,

     I would follow Dan's suggestion of waiting until you have another blood work done. Same thing happened with my brother. He had his prostate removed and the Surgeon had him get blood work and it came back a bit high and he wanted him to get radiation right away.

     My brother went to the radiation oncologist and he suggested waiting for the results of a second blood work, 3 months down the road. It came back at 0.1 and remained there for 3 years. Recently it started to climb up to 0.2 and he is now doing radiation treatments.

     My Best to You and Everyone Here

RE: PSA level after Radical Prostatectomy

by WilbertW on Fri Jul 23, 2010 04:34 PM

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On Jul 23, 2010 12:42 AM PopPop wrote:

Wilbert,

     I would follow Dan's suggestion of waiting until you have another blood work done. Same thing happened with my brother. He had his prostate removed and the Surgeon had him get blood work and it came back a bit high and he wanted him to get radiation right away.

     My brother went to the radiation oncologist and he suggested waiting for the results of a second blood work, 3 months down the road. It came back at 0.1 and remained there for 3 years. Recently it started to climb up to 0.2 and he is now doing radiation treatments.

     My Best to You and Everyone Here

Thank you very much for your inputs. I have another appointment Wednesday with the radiation oncolgist. So this gives me a lot to think about. The only thing I'm worried about if I don't go with the radiation now will I give those left over cancer cells time to spread. Maybe even get mets.

Regards Wilbert.

 

RE: PSA level after Radical Prostatectomy

by WilbertW on Fri Jul 23, 2010 04:44 PM

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On Jul 22, 2010 10:05 PM skidan wrote:

On Jul 22, 2010 9:35 PM WilbertW wrote:

Had my prostrate removed May 8th , 2010. My first PSA first PSA after surgery came back at .3 , should be zero after surgery. What now docitors think I should have radiation and Lupron. I just don't know enough to know if this is the way to go.  By the way my post op gleason score was (4+4).

 

 

 

 

Personally I would wait for another test to see which way it might go. I personally know of someone after surgery that had a PSA of 0.17 and it stayed that for the last 9 years. It is possible for other factors to register a PSA, some tissue or fat, I even heard women could have a detectable PSA.  Were your surgical margains clear?  With a Gleason of 8 you maybe will have to deal with more treatemnt. In the meantime look at diet and supplements. It has been effective for me and others.

Dan

Dan:

I forgot to mention that I repeated the test a week later with the same results.

regards

 

Wilbert

 

 

RE: PSA level after Radical Prostatectomy

by skidan on Fri Jul 23, 2010 04:59 PM

Quote | Reply

On Jul 23, 2010 4:34 PM WilbertW wrote:

On Jul 23, 2010 12:42 AM PopPop wrote:

Wilbert,

     I would follow Dan's suggestion of waiting until you have another blood work done. Same thing happened with my brother. He had his prostate removed and the Surgeon had him get blood work and it came back a bit high and he wanted him to get radiation right away.

     My brother went to the radiation oncologist and he suggested waiting for the results of a second blood work, 3 months down the road. It came back at 0.1 and remained there for 3 years. Recently it started to climb up to 0.2 and he is now doing radiation treatments.

     My Best to You and Everyone Here

Thank you very much for your inputs. I have another appointment Wednesday with the radiation oncolgist. So this gives me a lot to think about. The only thing I'm worried about if I don't go with the radiation now will I give those left over cancer cells time to spread. Maybe even get mets.

Regards Wilbert.

 

Wilbert,

  Since one of your surgical margains are not clean I understand your concern. Also with a Gleason of 8 you need to stay on top of this. If you decide on the radiation I would also look at diet and supplements. The radiation will treat the sympton, it's up to you to treat the cause. It sounds like you have advanced prostate cancer which according to Web MD there is no cure only treatmnets. The long survivors work both sides, traditional with alternative.  You have a difficult jop ahead deciding what to do next. Don't be afraid to research and get second opinions. I good site to see what people in similar position choose and the results they had and the side effects. www.yananow.net  

You can private message me if you have additional questions, wishing you great results

Dan

RE: PSA level after Radical Prostatectomy

by PopPop on Fri Jul 23, 2010 05:21 PM

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Wilbert,

     I have gone with my brother for the important meetings with his Surgeon and Radiation Oncologist and that by no means makes me an expert. But, with that said, the way it was explained to us by the Surgeon. Was that he was going to remove the Prostate by the Robotic surgery and remove some more tissue to have safe margins as they call it. So, in the cavity that once housed the prostate, some tissue is removed around that area as a safety measure. That was 3 years ago and the PSA was high the first reading around 0.3 then 3 months later dropped to 0.1

     The PSA levels are what was mentioned by another poster as protein. I once had a higher then normal reading for me, thru a different LAB and was subjected to 12 biopsies. Turned out that I was clear of cancer of my prostate.

      My brother's Radiation Oncologist suggested that he wait an additional 3 months as not eveyone's PSA levels drop to zero after their surgery. He said it could take up to 6 months and he didn't want to put my brother through the radiation if he didn't truely need it. We were also told that the Prostate cancer is a slower moving cancer then many of the other types.

      As it was explained to us, if my brother had not had the PSA test done and had the operation when he did from the beginning, it would have taken 8 years for him to see the signs of prostate cancer. At that time he would have been a higher stage and from there, he would be given treatment and the possiblility of another 4-5 years survival. That is if he hadn't done anything after his first high reading. The RO then said that by my brother having his prostate removed increased his live expectancy. Now that his PSA has slowly climbed and taking the actions he is now ( radiation ) will insure a healthy and long life from the words of his RO. My brother is now 61. Although he was going to get radiation, he also volunteered to be part of a study as to the results of 3 groups that would receive radiation in all groups, but the other 2 groups would receive other meds as well to see if one is better then the other as far as future treatments to prostate patients.

    As always we are own advacate, I have had cancer twice and fought this beast. As you said, you have allot to think about before Wednesday. Do you wait and see the results of your next PSA to see if the reading levels drop off at 0.1 or 0.0 which is the best reading. The 0.1 is not bad either as long as it stays there.

    My Doctor told me that some things can cause a higher reading of the PSA blood work, such as having sex a few days before the blood test. Also, spicy foods, heavy lifting of objects several days ahead of the blood work as well. It is a balancing act to say the least.

    Sorry for adding to the things that you have to think about, but we need all the information we can get to make sound decisions. If you feel better by getting the radiation done now and have peace of mind, then that may be the road that you take verses what the next patient does. I know many men that choose the radiation only verses having the prostate removed. They seem to do well also.

    My Best to You and Everyone Here

RE: PSA level after Radical Prostatectomy

by WilbertW on Fri Jul 23, 2010 06:10 PM

Quote | Reply

On Jul 23, 2010 5:21 PM PopPop wrote:

Wilbert,

     I have gone with my brother for the important meetings with his Surgeon and Radiation Oncologist and that by no means makes me an expert. But, with that said, the way it was explained to us by the Surgeon. Was that he was going to remove the Prostate by the Robotic surgery and remove some more tissue to have safe margins as they call it. So, in the cavity that once housed the prostate, some tissue is removed around that area as a safety measure. That was 3 years ago and the PSA was high the first reading around 0.3 then 3 months later dropped to 0.1

     The PSA levels are what was mentioned by another poster as protein. I once had a higher then normal reading for me, thru a different LAB and was subjected to 12 biopsies. Turned out that I was clear of cancer of my prostate.

      My brother's Radiation Oncologist suggested that he wait an additional 3 months as not eveyone's PSA levels drop to zero after their surgery. He said it could take up to 6 months and he didn't want to put my brother through the radiation if he didn't truely need it. We were also told that the Prostate cancer is a slower moving cancer then many of the other types.

      As it was explained to us, if my brother had not had the PSA test done and had the operation when he did from the beginning, it would have taken 8 years for him to see the signs of prostate cancer. At that time he would have been a higher stage and from there, he would be given treatment and the possiblility of another 4-5 years survival. That is if he hadn't done anything after his first high reading. The RO then said that by my brother having his prostate removed increased his live expectancy. Now that his PSA has slowly climbed and taking the actions he is now ( radiation ) will insure a healthy and long life from the words of his RO. My brother is now 61. Although he was going to get radiation, he also volunteered to be part of a study as to the results of 3 groups that would receive radiation in all groups, but the other 2 groups would receive other meds as well to see if one is better then the other as far as future treatments to prostate patients.

    As always we are own advacate, I have had cancer twice and fought this beast. As you said, you have allot to think about before Wednesday. Do you wait and see the results of your next PSA to see if the reading levels drop off at 0.1 or 0.0 which is the best reading. The 0.1 is not bad either as long as it stays there.

    My Doctor told me that some things can cause a higher reading of the PSA blood work, such as having sex a few days before the blood test. Also, spicy foods, heavy lifting of objects several days ahead of the blood work as well. It is a balancing act to say the least.

    Sorry for adding to the things that you have to think about, but we need all the information we can get to make sound decisions. If you feel better by getting the radiation done now and have peace of mind, then that may be the road that you take verses what the next patient does. I know many men that choose the radiation only verses having the prostate removed. They seem to do well also.

    My Best to You and Everyone Here

Thank you again for your input with your brothers experence. Do you remember how long after his surgery the first PSA test was done with the .3 reading? My test was done 8 weeks after surgery. What my surgeon told me the half life of PSA is about 3 days. What that means that every 3 days the PSA level should drop half of what you started with prior to surgery. So if orginal PSA pre surgery was 5, 3 days after surgery it should be 2.5, then 3 days later 1.25 until it gets to the lowest reading. 

This is a very gut wrenching decision

Regards

Wilbert

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