Top
20
Doctor insights on: Do I Need A Prostate Biopsy If My Psa Is 24 And I Am 65 Yr Old

Share
1

1
Do I need a prostate biopsy if my psa is 2.4 and I am 65 yr old?

Do I need a prostate biopsy if my psa is 2.4 and I am 65 yr old?

Maybe: If you haven't already had one, you definitely need a good exam of your prostate, called a "digital rectal exam". This means your doctor feels the surface of your prostate gland with his or her finger inserted into your rectum. Any enlargement or nodules on your prostate gland would favor biopsy. This simple exam is often skipped due to embarrassment of the doctor or the patient. Ask for it! ...Read more

See 4 more doctor answers
Dr. Oscar Novick
2 doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more


2

2
I m 55 yrs. old my PSA has been a 5. It a been like this for awhile. Doc says a prostate biopsy neces. Test safe?

I m 55 yrs. old my PSA has been a 5. It a been like this for awhile. Doc says a prostate biopsy neces. Test safe?

Discuss w Urologist: This is the very reason many organizations no longer recommend PSA test (see USPSTF), because it often leads to unnecessary prostate biopsies. Prostate biopsy is a relatively safe procedure, but does carry some risks and side effects. I suggest discussing your result with a Urologist, as it is above normal, but stable. They may recommend additional lab tests vs biopsy. ...Read more

3

3
My PSA went or increased to a 5. Going for prostate biopsy, is it painful?

My PSA went or increased to a 5. Going for prostate biopsy, is it painful?

Yes, and treatable: There is pain but not too bad. Any over the counter medication like Tylenol (acetaminophen) or Motrin should be sufficient to relieve the pain. ...Read more

4

4
How long should I wait after having a prostate biopsy before having another psa test?

How long should I wait after having a prostate biopsy before having another psa test?

At least 6 weeks: Psa will be elevated by any manipulation of the prostate including a biopsy. You should wait at least 6 weeks before having another psa checked. ...Read more

5

5
Hello, My PSA went up to a 5, recommended prostate biopsy. The result was negative. Should be concerned? Thanks!

Follow-up: A negative biopsy result is good, however, you should follow your doctor's advice for continued vigilance and periodic check-ups. There is no need to worry. ...Read more

See 1 more doctor answer
6

6
My psa result is 5.6 then I have it ultrasound and negative. Should I have my prostate biopsy?

My psa result  is 5.6  then  I have  it ultrasound and negative. Should I have my prostate  biopsy?

Yes but: Speak to your doctor , besides prostate cancer there are other causes for elevated psa levels , if elevation is persistent and prostate exam is suspicious at 56 biopsy is indicated good luck. ...Read more

7

7
Urine test showed a 6.7 psa level, should I accept the recommendation for a prostate biopsy?

Urine test showed a 6.7 psa level, should I accept the recommendation for a prostate biopsy?

Probably: A blood test with a psa of 6.7 is hi. But other factors need to be taken into account such as your age, overall health, and your 10 year life expectancy. If you are young anf healthy, then a biopsy is usually recommended. As an alternative, active monitoring of the blood in 3 months is also an option but you must closely monitor the psa as it may signify prostate cancer. ...Read more

See 3 more doctor answers
8

8
My PSA is a 5, I'm going for a ultrasound guidance prostate biopsy. Is this procedure painful. Is it necessary?

My PSA is a 5, I'm going for a ultrasound guidance prostate biopsy. Is this procedure painful. Is it necessary?

At 55 yes: Prostatic biopsy at 55 is indicated ( yes necessary ) , relatively low low risk out patient procedure , rarely needs strong pain medication for some none after the procedure . ...Read more

10

10
Are there any less traumatic and invasive alternatives to prostate biopsy in response to a high psa, such as MRI of the prostate?

Are there any less traumatic and invasive alternatives to  prostate biopsy in response to a high psa, such as MRI of the prostate?

No: You would not want to be treated for prostate cancer unless there was conclusive tissue confirmation of the diagnosis. This is only obtained by a biopsy. All other tests whether they be a blood test, an x-ray or MRI study or other technology can be helpful in staging and evaluating the prostate. But a biopsy is crucial in the process. ...Read more

11

11
In april 03, 2013 i had a prostate biopsy because of a high psa 9.0. The biopsy result was negative for cancer but the prostate is 2 times larger than?

In april 03, 2013 i had a prostate biopsy because of a high psa 9.0. The biopsy result was negative for cancer but the prostate is 2 times larger than?

PSA density: Can describe whether the size of your gland explains the psa. The negative biopsy says they did not find the cancer, but it can also mean they missed it. I would repeat the psa and establish a pattern. You should refrain from sex a week or 2 before repeating the psa. If the psa continues to rise, repeat the biopsies. ...Read more

See 1 more doctor answer
12

12
My PSA is 5, is prostate biopsy recommended. I have no symptoms. No blood in stool or urine.

You Should consider: Normal PSA ( Prostatic Specific Antigen ) 2.5- 3.0 ng/ml Based on the levels , examination of prostate , due to peak incidence at your age , your doctor recommended and follow your doctor's advise , it is a low risk procedure ,At your age yes if you are two more decades older (75) then will be no (now most take that path ) ...Read more

13

13
After a prostate biopsy that showes no cancer. Can i recieve testosterone injections. That my psa is 300?

After a prostate biopsy that showes no cancer. Can i recieve testosterone injections.  That  my psa is 300?

Hold off: Psas can be elevated for many reasons, including uti, prostatitis, and prostate cancer. A psa of 300 is very high and very unusual. It would be wise to have a repeat psa and if it is still elevated consider a repeat 12 - 16 core biopsy. If prostate cancer is present, testosterone therapy will worsen it. ...Read more

14

14
I have high psa. Mri done in uk and scheduled for biopsy. Us doctor also recommends a prostate biopsy. Is there significant difference b/n uk and us?

Not sure: Doubt there's any differences at this point between uk ; us. High psa = possible prostate cancer. Next step is to see if it is and that's when you might be faced with some tough management decisions. Plan to get 2nd opinions then for sure. Only caveat is if psa is barely elevated ; only slowly trending in that direction--then it may be reasonable to just follow and delay biopsy. Otherwise, biopsy. ...Read more

17

17
I'm 50years old, african descent, no family history of prostate cancer. Psa 4.1 but normal digital rectal exam. Is biopsy recommended? Any risk? Thanks

Yes: Indication for a prostate biopsy are an abnormal dre or an elevated psa (most common reason). There is no psa level at which one can absolutely say that prostate cancer is or is not present; only that the higher the psa the greater the probability. Normal/average psa for age 50: ~0.7. Chance of fnding pca on bx with psa 4.1: ~25-35%. Risks of bx: infection, bleeding, pain, urinary retention. ...Read more

See 1 more doctor answer
18

18
My dad is 67 and had psa > 7 over last couple of years (max: ~25), two negative prostate biopsies, recent psa 7. What next steps would you recommend? Thanks

My dad is 67 and had psa > 7 over last couple of years (max: ~25), two negative prostate biopsies, recent psa 7. What next steps would you recommend? Thanks

Uncertainty keeps on: Do you mean his PSA up to 25 ng/ml in the past and he has had 2 prostate biopsy showing no prostate cancer? If so, his odd to have clinical prostate cancer becomes less and less, but never guaranteed; so, he can be relaxed, but still need to have digital rectal exam on prostate. To diffuse the anxiety on PSA uncertainty, peruse articles in http://formefirst.com/FreeInfoProstate.html. Best wish... ...Read more

See 1 more doctor answer
19

19
Psa 5.4 urologist recommended prostate ultrasound and biopsy should I wait or have test.

Psa 5.4 urologist recommended prostate ultrasound and biopsy should I wait or have test.

It depends: It matters how this reading fits your prior psa values if any. If it is an isolated reading or even your first ever, then repeating the psa ink the next few months is a reasonable strategy. There is no evidence that antibiotics have a role here and can even be harmful. If your prostate is large by exam this can also be meaningful. There is little downside to confirming an elevated level first. ...Read more

See 1 more doctor answer
20

20
What do you recommend for persistently elevated PSA (8-9) with multiple negative prostate biopsies and negative prostate MRI?

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

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

Dr. James Lin
270 doctors shared insights

Prostate Specific Antigen (Definition)

Psa is a protein made in the prostate gland that functions to liquefy sperm. It is a serine protease made by both normal and malignant prostate glands. Commonly used as a screening test for prostate cancer, the psa test is widely used to detect which men would benefit from a prostate biopsy as well as detect cancer recurrence in men who have been ...Read more


Dr. M. Hytham Beck
7 doctors shared insights

Prostate (Definition)

The prostate is a gland that lies at the base of the bladder and surrounding a segment of urethra. It secretes a milky fluid that is discharged by excretory ducts into the urethra during the emission of semen. It is clinically important because enlargement of the prostate with age, and prostate cancer are two common ...Read more