The critical reason why PSA testing is mandatory after treatment of prostate cancer

2024-04-19 11:05:12 Health and Fitness

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PSA (prostate-particular antigen) screenings have become a well-known practice for men that are concerned with taking care of their medical condition. The test reveals prostate malignancy and has helped a large number of men to detect and treat their prostate growth early. Caught in an early stage, prostate cancer has been defeated in 95% of the cases. The PSA test is useful not only before the diagnosis, but also after the treatment itself, in order to determine the success of the procedure and the removal of the cancerous prostate.

How critical is a PSA test after prostate medical procedure?
The short answer is: very. Dr Samadi always states that after prostate surgery, your PSA level should be 0 or as close to it as possible ? barely perceptible. The chances of the cancer reoccurring are around 20-30% in the five years after treatment. This is why, having a PSA level higher than 0 can be a source of anxiety for most men, because it could signal a return of the prostate cancer. A PSA recurrence can lead to different outcomes for different people: the stage of the cancer can vary deeply, the treatment methodology is chosen on a case by case basis.

PSA post prostatectomy has to be carefully analyzed
In spite of the fact that PSA ought to be 0 after the prostatectomy, Doctor David Samadi has seen situations where patients are faced with one of these situations: PSA recurrence or PSA persistence.
The persistence of the PSA level higher than 0, for the initial three months after prostatectomy, might have a somber outcome for the patient, meaning that the cancer has metastasized. According to Dr. Samadi, often times, the best secondary treatment for this situation is hormone therapy.
PSA recurrence happens when the screening levels are 0 after surgery, with an ascent in the blood test at a later time, during one of the checkups. The benchmark score for PSA recurrence is 0.2. As before stated, a PSA repeat can mean a wide range of things as far as the status of the prostate disease. From David Samadi?s experience, these diverse situations depend on a few unique elements:
? Gleason Score of Prostate Cancer: The Gleason score is a proportion of how forceful the cells of prostate cancer are. The higher the score, the more advanced the cancer. Men with higher Gleason scores who encounter PSA recurrence are at more serious hazard for metastasis of prostate growth than those men with smaller Gleason scores.
?Time from Surgery: The sooner the PSA starts rising again after surgery, the more aggressive the prostate cancer could indicate to be. However, the more times passes after the procedure of prostate removal, the less likely the disease is to be aggressive and continue growing. Patients have a better rate of survival in case the PSA level starts climbing up a while after the surgery.
?PSA Doubling Time: the shorter the amount of time it takes for the PSA to double in value, the more aggressive the tumor is. This indicator usually leads to choosing a more forceful treatment plan to be put into action.

Would it be advisable for you to stress if your PSA levels had gone up after prostate medical procedure?
Dr. David B. Samadi says this is an exceptionally uncommon occurrence that surfaces now and again, with the PSA after medical procedure going up. The principle advantage of medical procedure is that you can expel the whole malignancy, while the patients know precisely what kind of growth they have and how much disease, so the PSA after medical procedure ought to be imperceptible or zero. This is the reason it is smarter to pick surgery as a form of treatment, over radiation.