How often does prostate cancer re-occur after a prostatectomy?
Patient: I had prostate cancer and a prostatectomy in January 2014. It was contained in the prostate and my surgeon said all was clean.  My last three annual psa test have been .03, .05, and.09.  With the .09, the Dr says the cancer has returned.  I'm not sure I understand how it is possible.also, I was told a little radiation would be the treatment once my PSAT reached .2.  I will be 63 in May.  Is this normal?   How often does this type of recurrence happen?Thanks. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.  Recurrence may happen after prostatectomy in case of prostate cancer. Serial PSA assessment is required if we see a rising trend in PSA level, we have to suspect a recurrence. In your case there is rising trend and we have to intervene. Get an MRI scan done as soon as possible. Consult your urologist and he will direct you accordingly.  Wishing you good health.  Thanks.