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Twenty years would not bother me much, as I am 70. If I knew for sure that I had 15 years without doing anything then I would not do anything. Let the chips fall. But I will get radiation if the rise continues.
I am wondering what were the details of your "excellent" pathology such as post-op Gleason and margins, for how long your PSA was undetectable and what was the timeframe for the rises to 0.05 and then 0.07. What has been your advice on when to make a move?
I am also 70 and after a year of post surgery undetectable PSA (being <0.01), I have now had a test showing 0.01. I know it is a very small number, but after a period of undetectable, any number at all is the possible beginning of something. I am especially vigilant because of my Gleason 4+5=9 post-op pathology, albeit clear margins. From what I have read, often Gleason 9 recurrences move a lot quicker and so I am on the verge of being trigger happy.