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WENT TO VA YESTERDAY

MGUNS
MGUNS CSN Member Posts: 14
in Prostate Cancer #1

Ladies and Gents, went to VA today in order to obtain a referral for Orthotics. After my appointment with my VA GP she send me to the lab to get some blood work. They must have used 4 vials to draw blood, one of these for PSA. I’m only 6 weeks post op. My Urologist wanted this done on November 12, (by his staff) which would be 3 months post op. Does it really make a difference; 6 weeks compared to 3 month. Please share, my surgery was August 19, 2019. Pre op PSA 4.2

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Comments

  • Georges Calvez
    Georges Calvez CSN Member Posts: 547 Member
    #2
    PSA levels

    Hi there,

    PSA falls quite rapidly after the removal of the prostate, in a case like yours with a low starting point and hopefully no complications it should be close to the limit of detection by now.

    Best wishes,

    Georges

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  • Clevelandguy
    Clevelandguy CSN Member Posts: 1,351 Member
    #3
    Agree with George

    Hi,

    I would think after almost 6 weeks it should be getting towards the undetectable range soon.  A followup by your Urologist at 12 weeks would be a good second opinion. Hope for the best!!!!

    Dave 3+4

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  • Georges Calvez
    Georges Calvez CSN Member Posts: 547 Member
    #4
    Half life

    Hi there,

    The half life of PSA in the body is estimated at around three days so it is if you call the total at the beginning 100%,  after one week it is 25%, two weeks 6%, three weeks 1,5%, four weeks 0,4%; 5 weeks 0.1%, 6 weeks 0%.
    Obviously this assumes that there are no cancer cells in the body to sustain the level of PSA, if there are still cancer cells then it will fall to whatever baseline level of PSA that they can make.

    Best wishes,

    Georges

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  • MGUNS
    MGUNS CSN Member Posts: 14
    #5
    NEW VA PSA AS OF 10/1/19

     VA PSA CAME BACK <0.01

     

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  • lighterwood67
    lighterwood67 CSN Member Posts: 398 Member
    #6
    Great news

    Hopefully you will have many more of those on your journey.

     

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  • Clevelandguy
    Clevelandguy CSN Member Posts: 1,351 Member
    #7
    Fantastic!!!!!!

    Keep the trend going........ 

    Dave 3+4

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  • Georges Calvez
    Georges Calvez CSN Member Posts: 547 Member
    #8
    Congratulations

    Hi there,

    It cannot get better than that as you are at the limit of detection for the assay technology, the machine and the laboratory.
    It is less than 0.01 of a nanogram per millilitre which is a tiny amount.

    Best wishes,

    Georges

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  • Max Former Hodgkins Stage 3
    Max Former Hodgkins Stage 3 CSN Member Posts: 3,831 Member
    edited October 2019 #9
    Test

    MGUNS,

    First things first: As Georges noted, your PSA results show undetectable.  Actually, your result could be a bit higher and still be regarded as undetectable in most protocols.  The number will float around just a bit, which is meaningless.  I have never seen anyone report a PSA result of 00.00, ever, although it is possible at random I'm sure.  But numbers to the right of the decimil will move about, and it is no sign (usually) of relapse or for worry.

    Medical centers vary on when and how often to give follow-up testing.  The PSA test is easy and relatively cheap, and there is no such thing as "too many," so more is probably better.   But all is great for you, and congrats.    I hope the USMC has a ribbon for exemplary service on the battle of the operating table !

     

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  • VascodaGama
    VascodaGama CSN Member Posts: 3,748 Member
    #10

    Yes. Let's celebrate.

    PSA is at zero levels 6 weeks post op. This is credible even if you prefer to wait for the results of your urologist's schedule test (11/12/19).

    Typically the body cleans circulating PSA in the blood during the two weeks after op.

    This is the time for a glass of red Esporão. 

    Congratulations

    VG

     

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