My psa has risin from 0 to 6.2 in 5 yrs after having radical surgery. What sympt!


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I am assuming you had a Radical Prostatectomy for prostate cancer. A rise in PSA after this operation can be due to a few things. Cancer recurrence is the typical worry. An elevation in PSA greatly preceeds symptoms though. Depending on the rate on increase, your age, the specifics of your cancer's pathology (Gleason score, TNM stage at surgery) - the prognosis and course possiblities vary quite a lot.

Depending on these specifics, your doctor ought to have a plan in mind as to follow up, other testing etc. To get a plan in action, talk with your doctor - it s the only way you can get a specific answer.

Recurrent prostate cancer in post radical prostatectomy patient's can have symptoms locally (at the prostate bed) that may interfere with urination, or distant issues - most commonly disease in the bones. Again - elevations in PSA preceed symptoms and definable disease by years most of the time.

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What kind of radical surgery did you have? I'm really hoping it wasn't like the Michael Jackson type !
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There are lots of reasons for an elevated PSA level, including prostate cancer, benign prostate enlargement, inflammation, infection, age, and race.

If no other symptoms suggest cancer, your doctor might recommend repeating DRE and PSA tests regularly to watch for any changes. If a suspicious lump is detected during the DRE, your doctor may recommend other tests to determine if there is cancer or another problem in the prostate. A urine test can also be used to detect a urinary tract infection or blood in the urine. Your doctor might also recommend imaging tests, such as ultrasound, x-rays, or cystoscopy. Medication or even surgery may be recommended if the problem is BPH or an infection.

If other symptoms or findings do, in fact, suggest cancer, you will most likely need to get a biopsy on your prostate. As you probably have already noticed, this is not something that you can deal with on your own. Get in touch with your family doctor, or preferably an oncologist. Best of luck.
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