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Post-Op 1 Year PSA Result

lighterwood67's picture
lighterwood67
Posts: 207
Joined: Feb 2018

Well, I got the results of my post-op RP 1 year PSA result.  My PSA is undetectable.

PSA TOTAL  <0.1

 
 
The total PSA value from this assay system is
standardized against the WHO standard. The test
result will be approximately 20% lower when compared
to the equimolar-standardized total PSA (Beckman
Coulter). Comparison of serial PSA results should be
interpreted with this fact in mind.
 
This test was performed using the Siemens
chemiluminescent method. Values obtained from
different assay methods cannot be used
interchangeably. PSA levels, regardless of
value, should not be interpreted as absolute
evidence of the presence or absence of disease
 
I go to see my surgeon on3/29/2019.  After that, wife and Woody (our dog)  will turn the Nimitz (our camper 41.5 ft 5th wheel) into the wind and go camping. For now, we are OK and we are going to enjoy the moments.  Smile, I am.
Georges Calvez
Posts: 275
Joined: Sep 2018

Congratulations, you can be happy with that.
As you say PSA results are not always comparable, not always good evidence of disease, etc.
I have my next test on the 25th and I see Tigger the Quack on the 28th.
I planted some onions sets, baby onions that grow into big onions, yesterday morning and a couple are showing green points today because they had a little green shoot inside and when they sucked up the water the cells elongated and out popped the shoot, bit like a penile implant really!

lighterwood67's picture
lighterwood67
Posts: 207
Joined: Feb 2018

 I am not too sure about your onions and stuff.  Is that an ED remedy?  Maybe that will work. Anyway good luck on your next test.  

Georges Calvez
Posts: 275
Joined: Sep 2018

Maybe it is a parable to follow on from your tale of the camper van.
ED is permanent in my case without surgery or injections, both nerve bundles cut so no dice.

lighterwood67's picture
lighterwood67
Posts: 207
Joined: Feb 2018

The "camper van" is actually what is called a 5th wheel.  It is the real deal no tale.  Lots of fun.  My ED issue is about 75% recovered.  I have not taken any add-ons for about a month now.  Still, the most important data to me for now is PSA undetecable.  Again, wish the best for you.

MK1965
Posts: 177
Joined: Jun 2016

lighterwood67,

You are one lucky guy when it comes to ED recovery after RP, especially at your age.

Wish you many more “undetectables” in the future.

MK

lighterwood67's picture
lighterwood67
Posts: 207
Joined: Feb 2018

Thanks MK.  Means a lot coming from you.

Clevelandguy
Posts: 456
Joined: Jun 2015

Hopefully many more zero psa tests to come in the future.....

Dave 3+4

lighterwood67's picture
lighterwood67
Posts: 207
Joined: Feb 2018

Thanks.  Getting there slowly but surely.

Max Former Hodgkins Stage 3's picture
Max Former Hodg...
Posts: 3293
Joined: May 2012

Bravo, lighter.   

I have my 4-year PSA draw in about two weeks (after a year or so, the doc dropped the requirement for me to just once annually).

As I have written here a few times, some confusion in the industry between lab standards does exist, as you described above.  But most labs, when they give a numeric result, virtually never show all zeros out past two decimal places or more; mine has never been all zeros.  But it has always been clinically "Undetectable," and indicates no evidence of disease ("N.E.D.").    I say this because I have read posts from guys who got a post RP results that showed numbers two or three places to the right of the decimal.   This is OK, and can be read as simply all zeroes if they wish.

 

max

VascodaGama's picture
VascodaGama
Posts: 3012
Joined: Nov 2010

Zeros are what we all want after an intervention to treat PCa. You got it and you are to be congratulated.

I hope that your next post is to inform about another Zero.

Congratulations.

VG

lighterwood67's picture
lighterwood67
Posts: 207
Joined: Feb 2018

Thanks folks.  Always a great feeling to get positive reinforcement from people who are fighting a common enemy.  As I said, I go and see my surgeon on March 29, 2019.  They always tell me I will be seeing a NP, but when I get to the center, he always shows up to talk with me.  Oh well, will just have to wait and see what he says.  As usual, I will let this forum know.  Again, thanks for the support.

Max Former Hodgkins Stage 3's picture
Max Former Hodg...
Posts: 3293
Joined: May 2012

lighter,

The surgeon just wanted to pop in and see the guy who paid for repainting his antique Ferrari.....

lighterwood67's picture
lighterwood67
Posts: 207
Joined: Feb 2018

More than likely or that trip he just took to China.

Max Former Hodgkins Stage 3's picture
Max Former Hodg...
Posts: 3293
Joined: May 2012

Thought I would piggyback on lighterwood and Georges' earlier good news, rather than starting a new thread for a brief message; plus, it is on the exact same subject:

I went for my annual post-DaVinci PSA check and meeting at my urologist's office today.  I am now just over four years post-surgery.

The results were, again, thankfully "Undetectable."  I asked the lab tech what their definition is, and she said their equipment for the Urology Group (about a dozen doctors) defines "Undetectable" as anything below 00.04   She said that the hospital that they are a part of has an Ultrasensitive machine, but it is only used when the doctors see the need to request it.  I have no idea what that "need" would be.

I also asked how many years my surgeon does these annual visits, and she said next year, the fifth year, would be my last.  They recommend after the five years that men just get their family physician to do a PSA annually.

I am thankful...

max

lighterwood67's picture
lighterwood67
Posts: 207
Joined: Feb 2018

Congratulations.  "Undetectable" is always good news when it comes to PC.

Georges Calvez
Posts: 275
Joined: Sep 2018

Hi there,

My post prostatectomy zeros were reported as;

< 0.03 µg/L Cobas Roche  electrochemiluminescence ECLIA sandwich ( serum, plasma )
and now
<0.05 µg/L Architect Abbott chemiluminescence CMIA (serum)

These are both zeros, as they are reporting the lower limit that the technique is capable of detecting, they changed the machine from a Cobas Roche to an Architect Abbott which has a slightly higher lower limit.
Another not quite zero zero in a couple of weeks, I hope.

Best wishes,

Georges

lighterwood67's picture
lighterwood67
Posts: 207
Joined: Feb 2018

Well, did not see my surgeon yesterday, but I saw 2 nurses and a PA, all young people, all women.  Of course most people are younger than me now.  Very professional crew.  One of the nurses has been with my case since day one.  Always good to see a familiar face.  I will have to get my PSA tested every six months now for 2 more years.  Then they will hand off to my GP, if still undetectable.  You never know what cards you will be dealt in this life of flesh; so, do the best you can with that hand;  take care of your soul and God will take care of the rest.  I told them I have pretty much quit taking Sildenafil and the Cialis, no need to refill at this time.  I am fully continent, but since taking up Partner Yoga with my wife for the last month or so I have to be careful.  So you folks have a great day.  Smile, I am. 

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