PSA after RP confusion

My husband just went for first PSA following Davinci on 8/23. It was 4.5 and our MD wanted to start HT that day which was 10/13. Then he decided to first do a bone scan. They didn't even schedule the bone scan until 11/20. More than a month w a f/u on 11/24 to start HT. Question is we are anxious to start treatment but does a few weeks delay matter and should I continue fighting for earlier treatment or does it not really matter?

You didn't give any pathology? Please add---

You may want to have a newer scan PSMA, axumin etc to see if cancer has metastasized outside of pelvic area. Bone scans aren't too accurate.

I agree to retest PSA -

HT will keep the prostate cancer from growing until all is healed before radiation. HT will also help radiation to work better.

Bobby Mac

Moderators - this is a duplicate thread.

With aggressive disease you might want to move faster than slower. Your doc may be delaying to see if the bone scan shows any hot spots but I think its more important to talk about immediate treatment options than to do nothing.

Sorry that you are here, however you are very welcome. You are in the right place. Where are you located and is your medical team's credentials up to the challenge being presented? With aggressive GS9 cancer and a less than a desired pathology report, you want the best prostate cancer team you can have giving you direction for your treatment plans going forward. The initiation of Lupron into the immediate treatment plan provides time for healing and scheduling of referrals to a number one prostate cancer facility to continue on this path of "seek and destroy".
Other GS9 members will contribute their knowledge and experience here soon. Your knowledge and experience of being a RN is already benefitting your husband's cause. I certainly would be questioning the time lapse to the next step. There may be good reasons for the delay, I would be asking - "what are those reasons and why do they apply to my husband"? Please remember, those on this forum are not doctors giving medical advice, we are and have been individuals who have traveled the path or on the continuing path of fighting the battle against prostate cancer. You are in my prayers.

Thanks for your input. He already had a bone scan in July. The PSA post op scared me and in my opinion I thought he should start hormone therapy sooner . He's feeling pretty good physically aside from incontinence.

My husband's pathology is similar to yours. I would feel that doing nothing for a month is letting a G9 tiger loose from his cage. Surely these scans can occur more rapidly.