Prostate Cancer
Prostate Seed Implant: what if my cancer comes back?
Answer
A steady rise in PSA over time can signal a return, though small, temporary rises called a bounce are common after seeds.
Imaging, such as a PSMA PET scan, can help find where it is.
Options may include focal therapy, surgery in select cases, or hormone therapy.
Regular PSA checks help catch changes early.
Book an appointment if
If your PSA is rising after seeds, schedule a visit to review next steps.
At the Conyers Clinic
Our Conyers Clinic at 1366 Wellbrook Circle Suite B, Conyers, GA 30012 is where we hold appointments, run lab work and do in-office tests, and we’d be happy to book you there.
How our Conyers team approaches this
After seed implants, our Conyers urologists watch your PSA trend rather than any single number, because small temporary bounces are common. If the trend suggests the cancer has returned, we look for where it is with imaging such as PSMA PET/CT. Then we talk through options that may include focal therapy, surgery in select cases or hormone therapy.
What happens at your visit
Bring your treatment records and every PSA result since your implant. At our Conyers Clinic we’ll plot the numbers together, explain what they suggest and decide on the next test.
Before your Conyers visit
Bring every PSA result since your implant, with dates, and any recent imaging. Write down any new symptoms, such as bone pain or urinary changes, so we can talk them through.
When to pick up the phone
Call us if a PSA result comes back higher than the last one, or if you notice new bone pain or urinary trouble.
Questions we hear in Conyers
Is every PSA rise a return of cancer?
No. Small, temporary rises called a bounce are common after seeds. A steady rise over time is what we watch for.
How is the cancer found if it returns?
Imaging, such as a PSMA PET scan, can help show where it is.
Watch
Dr. Vahan Kassabian covers treatments for localized and advanced prostate cancer in this video.
Related pages
Educational article. Ask us about your own situation. Conyers articles