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Urology (Expert Forum)
testosterone revovery and a rising psa
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
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testosterone revovery and a rising psa
by canadian p, May 12, 2006 12:00AM
Was diagnosed with prostate cancer in Sept 2001.T3a Gleason 7 Original psa 37. Was placed on hormones for 8 months then received conformal radiation concurrent with hormone treatment that lasted a total of 3 years.Psa nadired under 0.06 in August 2005. By Febuary this year psa was .31 then in April .50. the testosterone level in February was 2.7 rising to 3.5 in April. My oncologist says the psa is rising due to testosterone recovery and they would not likely intervene until psa was 1.5.Shoul I be placed back on hormones now before psa goes up any more? Thanks
Doctor's Answer
by Kevin Pho, MD, May 13, 2006 12:00AM
, May 13, 2006 12:00AM
Three consecutive PSA rises after therapy is certainly concerning. Further testing is recommended to ensure that the cancer has recurred.
Imaging studies like a pelvic CT scan/ProstaScint scan as well as a bone scan (if metastatic disease is suspected) can be considered. Differentiating the PSA into total and free PSA should also be considered. Salvage prostatectomy should be considered if the PSA continues to rise.
These options can be discussed with your urologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Imaging studies like a pelvic CT scan/ProstaScint scan as well as a bone scan (if metastatic disease is suspected) can be considered. Differentiating the PSA into total and free PSA should also be considered. Salvage prostatectomy should be considered if the PSA continues to rise.
These options can be discussed with your urologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
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