Biochemical Recurrence After Prostatectomy w/ Dr. James Eastham | Urology Podcast Ep. 155

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  • Опубліковано 8 лис 2024

КОМЕНТАРІ • 7

  • @jeffdavis4898
    @jeffdavis4898 3 місяці тому +4

    This is good. Prostatectomy 8.5 yrs ago 4+3, post op svi..about 30 psatest ranging between .02 and .04...now...suddenly .08. Psma scheduled...no mri...radiation here I come? Recovered great from surgery...consultation? that was my urologist weak point seemed tight liped. Shoulder shrugging and a lot of I don't know to my questions...now have a new urologist and first visit I get the .08.

    • @jazandriz
      @jazandriz 2 місяці тому

      Just had my first post op psa almost 3 months after operation my stats are same as yours but psa .01. Curious what they told you would trigger radiation? Was it change or rising above an absolute threshold?

    • @jeffdavis4898
      @jeffdavis4898 2 місяці тому +1

      @jazandriz psma was negative so continuing psa every three months . If i have anymore rise then salvage radiation in region....or another psma....? Not sure kinda in lala land. I've really restricted my diet to see if it stabilizes or drops any. If i get another rise then something in the move. Just random salvage may not help but maybe my only option unless it gets pinpointed with psma.

    • @jazandriz
      @jazandriz 2 місяці тому

      @@jeffdavis4898 hmm interesting I am curious how frequently my insurance and dr will allow for psma if mine goes up. right there with you on the diet.. have cut back on animal protein big time what are you doing diet wise?

    • @jeffdavis4898
      @jeffdavis4898 2 місяці тому

      @jazandriz less sugar/bread mostly. It's impossible to avoid a lot of things I probably should.

  • @robertmonroe3678
    @robertmonroe3678 3 місяці тому +1

    PSMA has limited utility in garden variety recurrence (wherein salvage should begin prior to .2).

  • @jazandriz
    @jazandriz 2 місяці тому +2

    From this patients perspective, Nomograms are old and tired. It’s an outdated approach by definition as it doesn’t use all the latest information or data at hand.