Nine months ago (at one year and 9 months after my prostatectomy) I had an ultra-sensitive PSA test that showed a PSA of 0.012. All previous tests
BCR is biological chemical recurrence…for those who have had surgery one criteria is after PSA has been undetectable , < .1 with a standard PSA test, you have consecutive readings of .2 or higher typically spaced 90 days apart. For those who chose radiation the criteria is different, it is a reading based on the nadir .
PSA does Not diagnose prostate cancer. It is only a measure in which other decisions can be made. If your PSA rises more than 0.75 in one year there is reason for concern. Diagnosis is made by biopsy. The biopsy tells you how many cores are positive for prostate cancer and your Gleason score.
Results The biochemical recurrence (BCR) rate at 1 year after RP was either 38.6 % (in case of 3 rising uPSA values) or 34.9 % (in case of PSA >0.2 ng/ml after nadir), respectively. The main risk factors for uPSA fluctuations over time were PSA at diagnosis >8 ng/ml ( p = 0.014), pT ( p = 0.038) and pN staging ( p = 0.001).
You would have a trigger to start the treatment. Doctors advice salvage RT in guys of your status when fast rises occur and when the PSA reaches the traditional threshold of 0.20 ng/ml. This reasoning comes from many past studies done to find the benefits of salvage treatments at define earliest thresholds.
1) I'm suspicious that you got a standard vs ultra sensitive PSA post surgery. The lower limit of a standard PSA is .1. 2) First PSA at 6 weeks is a little early. Sometimes their is residual tissue left over from the surgery. My PSA has been hovering around 0.241 since my robotic surgery.
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ultra sensitive psa vs regular psa
