This represents an alternative therapy. The same principles apply to utilization of rising PSA after radioactive seed implantation therapy and cryotherapy. A rising PSA usually signifies persistent disease. Treatment options for failure include early or delayed hormone therapy. Summary In summary, rising PSA after local treatment is usually indicative of the presence of prostate cancer and therefore progression of the disease.
Treatment remains controversial.
There are a number of prognostic factors a urologist may utilize in determining whether immediate or delayed treatment is indicated, including slope of the rise of the PSA, ploidy status, Gleason scores, initial PSA, type of therapy, and other factors. Information provided by this and other methods should help patients and physicians make important decisions regarding treatment of this disease. Inc. For medical, legal or other advice, please consult appropriate professionals of your choice.