Patient: Description of condition (onset, main symptoms, hospital visited, etc.): Radical surgery in November 2009. Now retest psa value 22.4 A month and a half ago fell , back pain but gradually lightened. Not using any medication now. I was treated at the hospital of Chifeng College. What kind of help do I need: What is the next step in the diagnosis and treatment. Niu Yinong, Department of Urology, Beijing Chaoyang Hospital: First of all, I would like to know about your situation before radical surgery, PSA, puncture biopsy and imaging. Now the PSA is more than 20, which is relatively high, you need to do some tests immediately, such as whether there is any recurrence locally in the surgery, how about the pelvic lymph nodes, bone scan and MRI to see if there are bone metastases? If there is no distant metastasis and it is limited to the pelvis, you can do radiotherapy, which is very important. It is best to find a hospital with a higher level of diagnosis and treatment, generally more than three A can still, if you have conditions, come to Beijing.