Question 1

my psa is high and i don't want to get a prostate examination?

Accepted Answer

: How high? All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Talk to the doctor who ordered the tests. You could ask for an MRI but preparation of prostate MRI is more troublesome than a prostate finger examination.     Wish you good health!

Question 2

what is psa and high psa  given treatment?

Accepted Answer

Different causes: Prostate specific antigenpsa) is a protein produced by prostate cells. It can be detected at low levels in men of all ages, but increases when the prostate enlarges or becomes inflamed.Psa test used to screen men for prostate cancer or for recurrence of cancer.Benign prostatic enlargement, inflammation (prostatitis), recent ejaculation, strenuous bicycle riding, and recent rectal exam can be cause.

Question 3

should my psa be high if i already had cancer?

Accepted Answer

PSA?: Is test used for people with prostatic hypertrophy , if it is elevated  they do biopsy . The result is not always accurate.

Question 4

65 yom with 14 psa; also high psa 7 yrs ago with neg biopsy; should i redo biopsy? no urinary issues. ct scan mostly unremarkable

Accepted Answer

Urologist: Is your psa still rising? Your urologist who knows all your findings is best qualified to advise you about a repeat biopsy. Some experts are now using MRI to diagnose prostate cancer. You may have a benign prostate that simply puts out a lot of psa. Sometimes biopsy samples do miss pockets of cancer,however. Nevertheless I would follow the advice of a skilled urologist.

Question 5

should i be concerned about high psa levels?

Accepted Answer

Yes, get checked.: If this is your first result showing high blood psa, you should see your doctor to get worked up to be sure it isn't prostate cancer.  Other things, like prostate hypertrophy, can give high psa, but there are different results on dre (digital rectal exam) than cancer.  The prostate would be firm, smooth, and rubbery, not rough and irregular.  But you don't know unless you get checked, so see dr.

Question 6

high psa 9.0 biopsy negative .what now?

Accepted Answer

Common situation: Everyone seems to agree that psa is not a "perfect" cancer screening test. If it was everyone with psa elevation would be found to have cancer upon biopy and that isnt the case. It is still the only way of selecting men for biopsy.  Continue to have semi-anual psa tests.  A second biopsy my be indicated at some future time if it continues to rise over time.

Question 7

what is the cutting edge of imaging in a  high psa differential? pt refuses to have biopsy and psa has been 10-12 over 7 years, but now has psa 15.

Accepted Answer

Can't force him: Patient seems to have been told hat a definite diag.can only be by biopsy.Imaging will not give definite diagnosis.Free &amp; total PSA would help:High free PSA(above 25%) is usually BPH(enlarged benign prostate).Low freeP more favors cancer:below 15%,below 7% is v. likely cancer &gt;If biopsy is negative for cancer but stays low or is lower,repeat Biopsy. PSA velocity is also a factor but space limited.

Question 8

is all high psa cancer?

Accepted Answer

No.: Not all high psa is cancer.  Many times it can be in prostatic hyperplasia, and BPH or benign prostatic hypertrophy.  However, many times cancer must be ruled out in these cases.  That's why other tests like digital rectal exam and biopsy of the prostate are done.  Psa levels >10 ng/ml or positive dre should be tested for cancer with transrectal ultrasound-guided biopsy or trus to rule out cancer.

Question 9

does a high psa score mean cancer?

Accepted Answer

Not always...: While a high psa score may be secondary to prostate carcinoma, other things can also cause elevated psa, such as inflammation or "prostatitis".  It is important to correlate the degree of elevation to the clinical setting for the patient involved, and it may also be important to follow the psa level over time.

Question 10

can dihydrotestosterone cause high psa levels?

Accepted Answer

PDA testosterone: Psa is protein secreted by prostate testosterone including metabolizes like digudrotestosterone control prostate function and size hence use of Dht will increse psa and hence it's use should be monitored by your md.

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Doctor answers about:

Psa high

A member asked:

My psa is high and i don't want to get a prostate examination?

A member asked:

What is psa and high psa given treatment?

A member asked:

Should my psa be high if i already had cancer?

A member asked:

65 yom with 14 psa; also high psa 7 yrs ago with neg biopsy; should i redo biopsy? no urinary issues. ct scan mostly unremarkable

A member asked:

Should i be concerned about high psa levels?

A member asked:

High psa 9.0 biopsy negative .what now?

A member asked:

What is the cutting edge of imaging in a high psa differential? pt refuses to have biopsy and psa has been 10-12 over 7 years, but now has psa 15.

A member asked:

Is all high psa cancer?

A member asked:

Does a high psa score mean cancer?

A member asked:

Can dihydrotestosterone cause high psa levels?

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