Urine infection with high psa ( 5 at begining of urine infection then 13 week later ) pain in end of penis and at rectum had prostititis twice prev?

Possible: Urinary tract infections (UTI) in men and prostatitis may be associated with elevated psa. If my index of suspicion is low for prostate cancer, i usually treat the infection and then recheck psa 2-3 weeks later and if still above normal, again in 2-3 weeks. If still elevated, i request urology consult. If back to normal, no follow up is indicated.

Inflammation: There are several factors that will increase a psa level including infections of the bladder and prostate. Infections in these organs will cause the psa to rise and give a false positive reading. After adequate treatment, a followup psa level should be obtained in 4 to 6 weeks. If the level is still abnormal, then a biopsy may be needed but may be monitored if the psa is lowering.