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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevated PSA Levels Post Double Orchiectomy?

hello my dad 80 yo just got a report from his dr his psa is at 13. He has had prostrate CA since about 2008 went thu a round of radiation and three years of hormone therapy, CA free for three years and then again more hormone when it came back. a month ago he had a double orchandectomy, last week more blood work and now just today the psa has CLIMBED from 5.0 to 13. something since the orchm we are stumped. Any reason you can suggest don
Fri, 4 Nov 2016
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General Surgeon,  's  Response
Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.

PSA may be temporarily elevated in short period after orchidectomy and tis is expected,however if this persist for more than 6 weeks postoperatively, you should do some other tests since i may indicate something more serious. You should in this case do scintigraphy and other tumor markers.

I hope I have answered you query. If you have any further questions you can contact us in every time.
Kindly regards. Wish you a good health.
DR. Ivan Rommstein
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What Causes Elevated PSA Levels Post Double Orchiectomy?

Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can. PSA may be temporarily elevated in short period after orchidectomy and tis is expected,however if this persist for more than 6 weeks postoperatively, you should do some other tests since i may indicate something more serious. You should in this case do scintigraphy and other tumor markers. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. DR. Ivan Rommstein