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Doctor insights on: How Long Should I Wait After Having A Prostate Biopsy Before Having Another Psa Test

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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

Dr. Bradford Patt
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


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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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

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

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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

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Enlarged prostate. Psa 11.9 ng/ml. Doctor advised for prostate biopsy. Can I take finasteride 5 mg tablets to shrink my prostate gland before biopsy?

Enlarged prostate. Psa 11.9 ng/ml. Doctor advised for prostate biopsy. Can I take finasteride 5 mg tablets to shrink my prostate gland before biopsy?

No point: Prostate biopsy is 2c if u have prostate cancer or not. Finesteride is used for benign symptomatic prostatic enlargement. May well be an option if prostate biopsy is negative. ...Read more

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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

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Psa up from 7 (avg.) to 11 on consecutive tests. Fpsa estimated at <10%. Two negative biopsies (2005 & 2009). Prostate @68g & bph. Now what?

Psa up from 7 (avg.) to 11 on consecutive tests. Fpsa estimated at <10%. Two negative biopsies (2005 & 2009). Prostate @68g & bph. Now what?

Elevated PSA: Now the specialists may disagree, but my advice as a family physician is that the most common cause of mildly elevated psa is benign prostatic hypertrophy. In 2011 the United States preventive services task force advocated against any kind of routine psa screening. With 2 negative biopsies, I wouldn't do anything more than check your psa once a year and see a urologist if it goes over 20. ...Read more

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For 6 I've had prostate issues even had biopsy at 39 PSA was 3.9 test was neg. The last two years PSA. 7 with free PSA 26%. Still symptomatic some days worse than others. Worried Drs missed cancer.

Falling PSA is good: Previously elevated PSA was likely due to inflammation, infection or manipulation. Your PSA is now within normal limits and biopsy was negative. All is OK & suggest you stop worrying. There is plenty of real stuff going on round the world to worry about, but, fortunately not your prostate. ...Read more

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My father-in-law had a recent ultrasound of prostate and psa test. His ultrasound showed enlarged prostate 104grams and psa 6.7. Is biopsy needed?

Much debate keeps on: Before diving into prostate biopsy, the specific info on age, medical background, family history, finding of digital rectal exam (DRE) on prostate, urinalysis, etc. Over time would be helpful. To gain a glimpse on much conflicting studies, confusion, and debate on how to use PSA and decide when to biopsy, take time & patience to review articles listed in http://formefirst. Com/FreeInfoProstate. Html ...Read more

Dr. James Lin
280 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. Warren Foster
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