The PSA level is a good indicator of how effective the treatment has been. In general, the PSA level should fall to an undetectable level after surgery if all the cancer has been removed. If you had brachytherapy or EBRT, you might even experience a PSA ‘bounce’ or ‘spike’, when PSA levels go up slightly for a short time during the first year of treatment. The level will drop again and the PSA bounce doesn’t mean the cancer has come back.
You should tell your doctor or members of your healthcare team if any symptoms are getting worse, or if you have developed any new symptoms.