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Thursday, February 18, 2010 John I, Community Member, asks

Q: Rising PSA after Robotic removal of prostate

I had robotic prostate removal (PSA level of about 4.61) when I was 65 years old (2009).  3 months after my PSA level was about .70 (average of three tests ranging from .812 to .74 to .646).  I had radiation therapy - now 3 months later my PSA is .88 (only one test so far).  The surgeon advised me I had an aggressive form of prostate cancer.  Any thoughts?

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Answers (1)
Jay Motola, Health Pro
3/29/10 8:17am

The rising PSA after a robotic prostatectomy implies that there is a recurrence of the disease.  The continued rising PSA after the radiation may just be a temporary jump after treatment and with the subsequent months, it may normalize.  If it were to continue to rise, it most likely means that you have systemic disease that is not localized.  Depending on you age at the time, and the extent of the rise, other treatments may be available.

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John I, Community Member
3/29/10 8:45am

Thank you - excellent advise.  My last PSA was .62 which is a significant decrease from the earlier .88 -

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By John I, Community Member— Last Modified: 12/26/10, First Published: 02/18/10