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Post Prostate Surgery PSA

by James Colwell
(Leawood, KS)

Nerve sparring surgery: March 2013

PSA at 3 months after surgery: 0.01
9 months: 0.04
1 year, 3 months: 0.05
1 year, 9 months: 0.09
2 years, 3 months: 0.13
2 years, 9 months: 0.29 (December 2015)

Pre surgery PSA: 24.8
Post surgery prostate analysis: Gleason 3+4. 10% of tissue had cancer. Margins free. Negative for lymph nodes. Seminal vesicles free and surgically removed.

My question is when do I begin to monitor doubling time? At the present 0.29 recurrance level (0.02 marker for recurrance) or way at the beginning at the 0.01 level or other level?

I am now debating a wait and see approach or begin treatment? IE: radiation of the bedding that surrounded the prostate. At what PSA level or doubling is it critical to treat? As I do not want radiation to zap my sexual funtion which is now fine with viagra. I also do not want other side effects of radiation treatment such as incontenence and possible other unwanted side effects if it is not critical to do so.


Ron here...

These are medical questions and I am not a doctor to answer those.

My approach is a natural approach to prostate cancer.

I would suggest reading my book Prostate Cancer Diet or Healthy Prostate.

PSA can elevate for many reasons beyond cancer. At this stage I would make a proper diet number one.

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