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Baltimore's Dr. Edward Leventhal gives you advice on how men can live healthier lives.

PSA Recurrence After Radical Prostatectomy

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For the man who underwent a radical prostatectomy and had an undetectable PSA, finding out that your PSA is now detectable and rising can be devastating. The evaluation of most PSA recurrent disease starts out in a similar fashion. The first discussion with the patient is about the point in time that he wants a further evaluation. For a man who had his prostate removed at age 64 and then ten years later at 74 his PSA starts to very slowly increase, I would typically recommend watchful waiting. I’d have the patient pick an arbitrary number at which he is no longer comfortable with watchful waiting and if his PSA hits that number we would embark upon the evaluation. Obviously at age 74 the likelihood of the patient succumbing to prostate cancer that is slowly advancing is small. However,… read more

Posted by .(JavaScript must be enabled to view this email address) on 05/02/10 at 09:00 PM


Comments

Thank You!

This was a very clear yet detailed enough article to give me a path forward and reasonable questions to ask.

I had a psa of 570 and radical prost surgery with neg (wide) margins but sem ves invasion. Done in Feb with psa .05 in May(but had luperon 4 month in Dec.)

Now in June psa = 6 and I am going for consult soon.
Thia REALLY helped me prepare.
Thx again.!

Posted by Doug on 06/25/11 at 12:32 AM

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