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Risk of prostate cancer after prostatectomy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Cervical and Ovarian Cancer
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
User :   Hello, I had my prostate out in June of 2010. Frist psa test after removal was 0.26 ng/mL...Januruary, 2011 test was 0.53 ng/mL. Do I have anything to worry about, and has anyone really beat prostate cancer? Thanks
Doctor :   Hi,
User :   Hello
Doctor :   no , i do not think that value of PSA indicates cancer
User :   If it doesn't indicate cancer, then why is it not 0.0 ?
Doctor :   no , it can never be 0.0
Doctor :   some amount of it should always be present
User :   If it keeps rising, will there be a problem then, and, what number should I be worried about?
Doctor :   The reason why its increasing is due to left out prostate tissue during the TURP
Doctor :   yes, once the value reaches more than 100ng/ml
Doctor :   then you may need a urethroscopy and a scan to rule out cancer
User :   TURP? I had a radical removal, so I hope the Dr. got it all out
Doctor :   ok,
Doctor :   i get it
Doctor :   but even in radical prostatectomy the prostatic part of the urethra which is made of prostate tissue is left behind ,
Doctor :   hence these values of PSA can be expected
User :   Ok, I get it now.....How long should I wait till I get another psa test?
Doctor :   6 months would be a good lag time
User :   Thank You Dr. , your info really helped!
Doctor :   you are welcome
Doctor :   Thanks for consulting me , kindly provide your feedback
User :   I will....Thanks again
Doctor :   Bye for now
Doctor :   Take care
User :   Bye
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