Hi a family member has been given a SPSA score of 0.237 ng/ml. After a Radical Prosectomy OP.

Is this good? What are the ranges and desired results?

Thanks

The ideal situation is for PSA levels to be undetectable or less than .1 after surgery.

Some PSA can remain in the system for weeks after surgery, so PSA repeat tests some weeks post surgery are relevant.

This, and overall profile influence additional treatment decisions.

So would a post op reading of SPSA 0.237 ng/ml be considered good?

thanks

How long after surgery was the PSA reading of .237 ?

12wks

Thanks

By several months after surgery, desired PSA should be under .1
Readings above that are not ideal.

Some doctors have different cut off points in mind like .2 or .3

After surgery, PSA should be closely monitored: they often look at the trend rather than one individual number, which could be what the doctor is doing if he has not discussed additional treatment options as yet.

Overall situation should be discussed with the doctor who has the full profile, &/or a further opinion on future options sought.

John

Thanks John. Yes we will check with the consulant in a couple of weeks.

Am only second guessing at the moment. The readings they posted to us where meaningless.

I usually suggest reading the book "Prostate Cancer Prevention and Cure" by Lee Nelson.

It's very comprehensive and covers various treatment options, lifestyle, exercise diet etc.
The book has a section on treatment options and how to deal with a rising PSA after surgery.

Let's know how it goes,

John

Thanks but not all is well. After lymph node biopsies, bone scans and radical prosect my father has been told all attempts have not been successful.

Doctors now want to try hormonal therapy. This has not been a good day.