Possible BT Failure

Hello All,

I have now had 3 consecutive rises in PSA in the last 9 months

3.9

5.5

6.1 (Today)



My URO is concerned , but, believes that I am experiencing the "PSA bump" having had had my BT

in 07/13.

My URO believes the chances of me having BT failure is 3% based on my stats.

In abundance of caution, he has referred me for a for a CT pelvic scan with contrast and a bone nuclear scan

of my skeleton ( whole body).

I will get these tests done in the next 2 weeks.

Looking for input, similar circumstances

Thanks in advance

Depending on the radiation dose in the first BT, sometimes beam radiation can be used as a "salvage."

At least my brother's URO told us that when he had BT.

Best to get the scans and see if anything shows ups. If the PC has escaped the prostate bed, then you've got a different game to play - HT and the other drugs.

What you need is better information. It's possible it's a "bump."

1811: it is hard to disagree with your Doc with your favorable stats. I vote "bump but would not rule out the other possibilities that Tall Allen has pointed out.

The only thing I would add is Cryotherapy as an option should it be needed.

http://prostate-cancer.org/PDFs/Is14-3_p18-21.pdf

I wish you the very best and please keep us posted.

Thanks for all the great replies and advice so far-

No urinary issues and I have been SE free-

My flow is actually better now than pre- BT

Felt fine bodily at diagnosis and feel fine now- no issue indicators

Today's DRE shows prostate has shrunk and flattened out a bit which according to my URO is how it should be

a year out

My RO has 30 years experience and is widely regarded as the best seed planter in my area.

I am not a shoulda, woulda, coulda type individual

I did my due diligence and made the best decision I could based on medical advice received and my research

The lesson here is that not all Gleason 6 cases behave as they are supposed to in regards to treatment

Even with the best care uncertainties occur

This disease is insidious and vigilance is the watchword of today and the future

Inappropriate post - text removed - 142

Post Edited By Moderator (142) : 10/18/2014 7:06:05 PM (GMT-6)

I would also vote bump.

Try using naproxen 440mg twice daily for 3 weeks prior to your next PSA. Anti-inflammatories may reduce the effect of the bump.

Paul