Question 1

can the flu cause elevated psa levels?

Accepted Answer

Not really : It may increase the psa very slightly but only briefly as part of an inflammatory response. But, generally, no. The psa should not be elevated high enough to worry. If it is, you need it checked out.

Question 2

60 year old father slightly elevated psa level of 4.6?

Accepted Answer

Why was the test : Done? The psa value is within normal limits for a 60 yr old man. However, psa is not recommended as a cancer screening test. The findings require a discussion with the doctor who ordered the test. For more information see this site.

http://www.cancer.gov/cancertopics/factsheet/detection/psa.

Question 3

i had  epididymitis in left testicle 2 weeks ago, a follow up now shows a level 8 on psa urine test, 50 yr. old, is this common.

Accepted Answer

Here are some ...: Epidiymitis at 50 is more likely related with UTI, which, in turn, is usually related with bladder outlet obstruction. Then PSA elevation may be UTI/protattitis-related; usually, a detailed Hx + urinalysis with/without urine culture + reviewing serial PSA in the past will generate a reliable Dx. If not with/without abnormal digital rectal exam on prostate, prostate US / Bx is advised. Ask Doc...

Question 4

what do you recommend for persistently elevated psa (8-9) with multiple negative prostate biopsies and negative prostate mri?

Accepted Answer

Surveillance: A good quality multiparametric MRI is reliable in ruling out significant high grade cancer . Continued PSA monitoring woukd be recommended

Question 5

i have a small bump in the perenium area and have been seejng a urologost yearly for elevated psa cpuld this be a swollen gland or a calcium deosit ?

Accepted Answer

Ask urologist: If there is a bump bring it to the urologist attention and ask if a biopsy is indicated. It is better to address this early rather than wait. It is possible this is only a cyst but it is impossible to tell without a biopsy.

Question 6

good evening doctors. could elevated psa in a 62 year-old adult male be caused by something other than prostate cancer? what else may cause it and how is it determined what is the cause?

Accepted Answer

: Prostatitis can raise the PSA. It can come from infection or inflammation. A raised PSA should be evaluated by an urologist

Question 7

i have extreme frequent urination especially at night, but the urination itself seems regular..no weakness to start, no weak stream, no pain, just extreme frequency especially at night. could this possibly be elevated psa or prostate cancer or bph?

Accepted Answer

: If the volume seems normal ( 200 cc or more) each time you void and you just have frequency, nothing else, then the condition is called nocturia which can be a hallmark of chronic kidney disease. I would assume you do not drink fluid at night when waking up.

Question 8

im finished with my two week course of keflex provided by my urologist but im still having upper and lower back pain and urethral pain. ua was clear, testes ultrasound was normal. psa normal. urologist says its epididymitis, whats my next step ?

Accepted Answer

: Keflex is NOT the treatment for epididymitis. Upper and lower back pain are not symptoms of epididymitis. You need to follow up with your doctor.

Question 9

27 m. recently after urination there is urine drops that comes out. no pain, no blood, erections are fine, testicles are soft, urine steam is strong. is this prostastis, epididmytis, or urethritis? what psa for my age? no family history of cancer?

Accepted Answer

: That finding is not due to disease of the genitourinary tract. You need to take time for the voiding, tighten your pelvic floor muscles for a couple times for maximally emptying the bladder at the end (although there is always urine left in the bladder after each voiding, i.e. residual volume) then milking your penis from bottom to top then dribbling won't happen. Good luck.

Question 10

i done my annual check up this year and my psa level was elevated to 6.7 .in past 10 years my psa always been above 4.0 . i did ct scan on my prostate three years ago and everything was normal no cancer now i am thinking maybe i should do biopsy ?

Accepted Answer

Urologist: The issue you are considering is not a do it yourself matter. You need to consult a urologist. S/he may wish to do an MRI or ultrasound study before deciding to do a biopsy. The urologist may also treat you with an antibiotic to see if the level would come down, if the elevation is due to infection.

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Doctor answers about:

Elevated psa levels epididymitis

A member asked:

Can the flu cause elevated psa levels?

A member asked:

60 year old father slightly elevated psa level of 4.6?

A member asked:

I had epididymitis in left testicle 2 weeks ago, a follow up now shows a level 8 on psa urine test, 50 yr. old, is this common.

A member asked:

What do you recommend for persistently elevated psa (8-9) with multiple negative prostate biopsies and negative prostate mri?

A member asked:

I have a small bump in the perenium area and have been seejng a urologost yearly for elevated psa cpuld this be a swollen gland or a calcium deosit ?

A member asked:

Good evening doctors. could elevated psa in a 62 year-old adult male be caused by something other than prostate cancer? what else may cause it and how is it determined what is the cause?

A member asked:

I have extreme frequent urination especially at night, but the urination itself seems regular..no weakness to start, no weak stream, no pain, just extreme frequency especially at night. could this possibly be elevated psa or prostate cancer or bph?

A member asked:

Im finished with my two week course of keflex provided by my urologist but im still having upper and lower back pain and urethral pain. ua was clear, testes ultrasound was normal. psa normal. urologist says its epididymitis, whats my next step ?

A member asked:

27 m. recently after urination there is urine drops that comes out. no pain, no blood, erections are fine, testicles are soft, urine steam is strong. is this prostastis, epididmytis, or urethritis? what psa for my age? no family history of cancer?

A member asked:

I done my annual check up this year and my psa level was elevated to 6.7 .in past 10 years my psa always been above 4.0 . i did ct scan on my prostate three years ago and everything was normal no cancer now i am thinking maybe i should do biopsy ?

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