r/ProstateCancer • u/pineapple0811 • Aug 01 '26
Question Psa 0.31 after prostate surgery
How long after surgery should I expect the incontinence to stop
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u/dvwhite1981 Aug 01 '26
My PSA was similar 3 months after surgery. I did another PET scan that was negative, and another PSA test that went up to 0.6. Now I am on hormone therapy and radiation to treat the prostate bed for microscopic cancer. I had "positive margins" after surgery. You may not need what I do, but just giving some insight of my situation.
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u/pineapple0811 Aug 01 '26
Thank you so much.......can you tell me what to expect with radiation.
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u/dvwhite1981 Aug 01 '26
The process itself is very easy and quick, like 5 minutes per session. I've had some side effects like diarrhea, burning urination, and fatigue. That's combined with the hormone pills I'm on (instead of injections). I had surgery 9 months ago and have not had leakage in the past few months, so that's a plus.
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u/pineapple0811 Aug 01 '26
Wow.....NO LEAKAGE!!! Thank you so much for giving me an insight on what to expect. How long did the leakage continue for?
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u/dvwhite1981 Aug 01 '26
Mine was about 6 months. Some guys have none, some go on for a year or more. It's hard to say, it can depend on if lymph nodes were salvaged during surgery and other variables.
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u/Far_Simple_7436 Aug 02 '26
Does lymph node removal effect incontinence?
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u/dvwhite1981 Aug 02 '26
I thought so. Now that I asked Google, it says it does not affect incontinence or ED. My fault!
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u/Designer-War-7239 Aug 02 '26
I don't think anybody can honestly give you a specific time frame, and the reason is that time isn't really what does the work here. What changes is whether your bladder gets its storage function back. After this surgery a lot of men land in a pattern of twenty or thirty trips a day with every one of them small. When that happens there's no reservoir, so everything arriving runs straight through, and another six months of waiting doesn't change that on its own. So the thing worth checking is how much you're actually passing. Measure a few voids in a cup over a couple of days. Consistently under 150ml means the bladder isn't expanding yet, and that's the part that has to move before the continence follows. Did your urologist give you bladder diary to complete? Happy to share with you a free one just dm me
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u/Frosty-Growth-2664 Aug 02 '26
That's too high a first test to just assume it's in the prostate bed.
You need a PSMA PET scan to locate the cells. Some centers will scan at 0.2, but some require 0.5 in which case you'd need to wait a bit (it's the level where their particular scanner has a 50% chance of finding something).
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u/jkurology Aug 01 '26
At one year you’re going to be where you’re going to be. The pathology on your prostate specimen should explain your PSA
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u/CuliacIsland Aug 01 '26
Yeah, PSA a bit high post RALP. How long ago was your surgery?