Biochemical Recurrence After Prostatectomy w/ Dr. James Eastham | Urology Podcast Ep. 155

[@jeffdavis4898]

This is good. Prostatectomy 8.5 yrs ago 4+3, post op svi..about 30 psatest ranging between .02 and .04...now...suddenly .08. Psma scheduled...no mri...radiation here I come? Recovered great from surgery...consultation? that was my urologist weak point seemed tight liped. Shoulder shrugging and a lot of I don't know to my questions...now have a new urologist and first visit I get the .08.

[@jazandriz]

Just had my first post op psa almost 3 months after operation my stats are same as yours but psa .01. Curious what they told you would trigger radiation? Was it change or rising above an absolute threshold?

[@jeffdavis4898]

@jazandriz psma was negative so continuing psa every three months . If i have anymore rise then salvage radiation in region....or another psma....? Not sure kinda in lala land. I've really restricted my diet to see if it stabilizes or drops any. If i get another rise then something in the move. Just random salvage may not help but maybe my only option unless it gets pinpointed with psma.

[@jazandriz]

@@jeffdavis4898 hmm interesting I am curious how frequently my insurance and dr will allow for psma if mine goes up. right there with you on the diet.. have cut back on animal protein big time what are you doing diet wise?

[@jeffdavis4898]

@jazandriz less sugar/bread mostly. It's impossible to avoid a lot of things I probably should.

[@andrewjames7994]

so what pathway did you follow and what treatment did you do?

[@RH-xd3nx]

Surgery 8/22,..no svi, no bladder neck invasion, negative margins, several lymph nodes removed and tested negative. Started to up tick last December 2023. Wth?!?

[@simmomantua8910]

Same with me

[@RH-xd3nx]

@@simmomantua8910 did you get a psma pet ?...mine was negative, getting 25 sessions in the prostate bed starting in February.

[@fredlevinssr3021]

I recently had a PSMA PET Scan because I had an elevated PSA after my prostate surgery. I’m being scheduled to start radiation therapy soon. I’m really appreciative to listen to these podcasts because of the amount of information being presented.

[@robertmonroe3678]

PSMA has limited utility in garden variety recurrence (wherein salvage should begin prior to .2).

[@jazandriz]

From this patients perspective, Nomograms are old and tired. It’s an outdated approach by definition as it doesn’t use all the latest information or data at hand.