A member asked:

My husbend has fever 101.3f and frequant urinating. doc says prostatitis. rectal exam ok. xray is good but psa is 38 does it necessarily mean cancer?

8 doctors weighed in across 2 answers

Treat infection: PSA level may be elevated from prostatitis and that needs to be treated first. Once the infection has subsided, PSA needs to be repeated and may need to be done multiple times to ascertain the issue. If PSA remains elevated, a biopsy may be needed to settle the matter.

Answered 4/9/2016

3.5k views

Thank
Dr. James Lin answered

Prostatitis-related?: Together with available info, his PSA elevation could be most likely related with acute prostatitis. Hence, it is reasonable to give antibiotics - Bactrim-DS 1 tab po bid x 3-4 wks or Levaquin (levofloxacin) 250 or 500 mg po qd x 3-4 wks and repeat PSA + DRE (digital rectal exam) in 3 months to compare prior serial PSA so to decide if prostate ultrasound + biopsy is needed or not.

Answered 6/29/2018

1.4k views

Thank

Related Questions