by James Colwell
(Leawood, KS)
Nerve sparring surgery: March 2013
PSA at 3 months after surgery: 0.01
9 months: 0.04
1 year, 3 months: 0.05
1 year, 9 months: 0.09
2 years, 3 months: 0.13
2 years, 9 months: 0.29 (December 2015)
Pre surgery PSA: 24.8
Post surgery prostate analysis: Gleason 3+4. 10% of tissue had cancer. Margins free. Negative for lymph nodes. Seminal vesicles free and surgically removed.
My question is when do I begin to monitor doubling time? At the present 0.29 recurrance level (0.02 marker for recurrance) or way at the beginning at the 0.01 level or other level?
I am now debating a wait and see approach or begin treatment? IE: radiation of the bedding that surrounded the prostate. At what PSA level or doubling is it critical to treat? As I do not want radiation to zap my sexual funtion which is now fine with viagra. I also do not want other side effects of radiation treatment such as incontenence and possible other unwanted side effects if it is not critical to do so.
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Ron here...
These are medical questions and I am not a doctor to answer those.
My approach is a natural approach to prostate cancer.
I would suggest reading my book Prostate Cancer Diet or Healthy Prostate.
PSA can elevate for many reasons beyond cancer. At this stage I would make a proper diet number one.
