Man presents with elevated PSA level

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Bradley F. Schwartz, DO, FACS, Professor and Chairman, Department of Urology, Southern Illinois University School of Medicine, Springfield, IL.

Bradley F. Schwartz has disclosed no relevant financial relationships.

Question 1 of 3

A 77-year-old man presents with a persistently elevated serum prostate-specific antigen (PSA) level. Five years earlier, he was treated with radical prostatectomy. Since then, he has been treated with different endocrine agents, including leuprorelin, goserelin, and flutamide, because of unstable serum PSA levels. Serum testosterone was maintained at castration level, but serum PSA levels remained elevated. The current diagnosis is biochemical recurrence of prostate cancer.

How often should PSA be evaluated in men who have undergone radical prostatectomy?

Choose one

	Every 3 months for the first year, then every 6 months for 10 years
	Every 6-12 months for the first 5 years, then annually
	Every 6 months for 10 years, then annually
	Depends on the pre-prostatectomy PSA value

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