PSA rise
Prostate C diagnosis in 2000-Had after biopsy a 2+3 Gleason with .31 PSA-Had well respected Doc who had performed many Radical Prostatectomy's-Had no symptoms discovered during yearly physical DRE-Had Prostate removed in 2000 at age 53 with no radiation recommended after Surgery-No Perineural escape, No lymph node involvment Gleason score was 6-For past 20 years PSA had only risen to 0.62 with no double time problems of concern--Gradual rises up to PSA of 2.42 in 2022 with still no double time issues but doc recommended Pet Scan,Whole body bone scan & PSMA scan all negative for Mets in Sept 2022--Have since that time had slow rises in PSA with no double times under 17 months-PSA is currently at 4.8 today 23 June 2025-Im currently age 78 at 25 years since my Prostate Removal--Maybe back then Gleason 6 that i had might should not have been removed however the mere thought of the word cancer often resulted in Quick removal of the Prostate-Although i had great doc many well known DOC's today indicate GLEASON 6 probably never METASTASIZES. IM NOT SECOND GUESSING because it was more my decision back then to have my prostate removed. So today at age 78 im not to excited about having any treatment since im just fortunate 25 years later to still be around & still in good health ,but side effects at current age by addressing this slow rising PSA with no doubletime issues seems better to keep watching --Your thoughts here appreciated
Hi
. First, let me say that, from what I've heard from others, the active surveillance wasn't near as common back when you had your procedure (the tests for monitoring were not as good either), so it makes sense to not second guess your decision. Also, it does seem fortunate that the changes you have experienced in PSA have been so slow and that the scans have all been negative. I need to note that we are not medical professionals and, for your protection, cannot provide medical advice over the internet. That said, given the circumstances you describe and the advances in the ability to continue to monitor and scan when necessary, it is understandable that you are not in a hurry for further treatment. Does your doctor have any thoughts on continuing to monitor and is there a reason periodic scans cannot suffice? Hopefully anyone else with a similar experience will chime in with thoughts. Best, Richard (Team Member)
