@charlesv ...

Sounds like you are doing well with no leaking. Yes like you I have had the fun of the double stream every so often. Nothing like a little unexpected excitement when you pee. Happens to a lot of us.

I am now 7 years out from my surgery and had an aggressive form of PCa with a Gleason 9. I am always a bit apprehensive prior to MD appointments.

My cancer did return in 2018 some 5 years after surgery but was was detected early by the highly sensitive post PSA test. And so far all is good.

Regarding urologist appointments ... What I have found to be helpful for my PSA stress was to ask the urologist's office to give me the paper work for my next PSA test before leaving the office.

If you do not have the paper work, call the office and have them send it in to your lab. Knowing the paper work is there allows me (and you) to go in a few weeks before the MD appointment.

Here is an example:
If my next appointment is in late June I will go into QUEST Diagnostics (my local lab here) 6 weeks in advance. I also ask the lab tech to send me a copy of the report if i am not already listed.

The good news is that test results are back in a week. In short I am able to see my results weeks in advance of my next urologist appointment.

While I am not offering medical advice on how to read a lab report I personally look for is a reading that begins with the ... < symbol

< Suggests that your individual PSA reading is in the correct range for someone following the removal of their prostate.

My last reading was < 0.02 or undetectable by that particular lab.

Hope that helps a bit and at least it can help to put your mind at ease prior to an MD appointment.

... Dennis(ProstateCancer.net Team)

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