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This subject has been discussed a number of times in the forum - if you use the Search facility you can find these discussions more easily.
One is here http://pub2.bravenet.com/forum/static/show.php?usernum=154144579&frmid=42&msgid=695625&cmd=show
I really don't know why doctors are taking PSA tests so soon after surgery. The previous practicde was to wait at least three months to let everything settle down after what is still a major operation.
Robert, do read the exchange some of us had that Terry linked to.
PSA of 2.5 after surgery does not necessarily mean that there is still cancer there. My story is basically in the link Terry gives, but I can add that at last check my PSA was down to 0.13 at 21 months after the robotic surgery. So it went from 1.68 at 12 weeks post op through various stages down to 0.13 over nearly a 2 year period. The latest info I have is that I have a 6 gram piece of prostate left behind the bladder neck.
Maybe as step one you should get your surgical pathology re-checked. If that agrees with the first, then leave everything to settle down for a bit longer and then get a sequential MRI scan done. If there is evidence of any prostate tissue remaining then you will have to watch it and consider a biopsy if the PSA goes up or perhaps even if it doesn't go down.
I must say, I never thought I would be doing active surveillance AFTER a prostatectomy!
I am wanting to get second opinion on my situation.should i see urologist or radiation oncologist or something else.opinions would be welcome.i am near cleveland, ohio USA
For a 2nd opinion I would always recommend a prostate oncologist. They are trained differently than a surgeon or radiologist and are generally more skilled in identifying PC.
