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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
48 year old male, recently had psa tested. Results were psa total 1.40, psa free 0.1, psa %free 7.1%. Any reason for concern given low psa %free?
Concern?: I see nothing of concern here.Get a more detailed 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. ...Read moreSee 1 more doctor answer
Here are...: After a successful radical prostatectomy rp) for prostate cancer, psa is expected to be around 0.01-0.02 ng/ml. But, no matter who did it and how was done, some one third of post-rp are still expected to have rising psa in time of f/u, which may suggest 3 things: local recurrence, or spread to nearby tissue such as regional ln, or spread to far sites such as lungs, rib, spine, or pelvic bone. ...Read moreSee 1 more doctor answer
Anal fissure: Anal fissures are often caused by chronic constipation and straining on defecation. Focus on keeping stools soft with a healthy, fiber-rich diet. Preparation h is primarily for hemorrhoidal relief, but could help fissure discomfort since there is a lubricating component to preparation h. Alternatively, you can also apply petroleum jelly if painful. See your md if severe. ...Read more
Not enough info: You describe a complex situation that requires complete review of the medical record. Questions that need to be answered include: - cancer grade - psa at diagnosis - rate of psa rise - stage, ?Mets? - duration of hormones - how long since radiation... See your urologist or radiation oncologist and ask them all of your questions. If you don't feel comfortable with them, seek another opinion. ...Read moreSee 1 more doctor answer
Treatment: Hormone therapy consists of medications that decrease the effects of testosterone on prostate cancer and a man's body. Prostate cancer growth is primarily fueled by testosterone. If testosterone is absent/ineffective, prostate cancer hopefully would stop growing. Hormone therapy has several varieties including pills and injections. Given for advanced disease or at times prior to radiation. ...Read moreSee 1 more doctor answer
Spec.chemistry TEST NAME PSA SCREEN 0.18 then space is blank=1= FREE T4 1.18. TSH 1.863 COMM. =1=the PSA assay is a direct chemiluminometric immunoasy?
See below: All laboratory tests need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, the results you provided are all normal. ...Read more
Yes, but depending..: Psa has been useful and reliable but depending on who uses it and how it's applied so not to serve political correctness and commercialism. More detail? To http://www.Formefirst.Com/newauapsa.Html and http://www.Formefirst.Com/freeinfoprostate.Html ...Read moreSee 1 more doctor answer
My total psa 1.07 free psa 0.O89 % free/total psa 8.31% with this report advice me shall i take biopsy?
Here are some ...: The controversy of routine PSA test has been around since its discovery (1970) but intensified drastically especially over the past 6 yrs. To get a glance at this dispute, please, at least, read the first 3 articles on http://formefirst.com/FreeInfoProstate.html. In my practice, I wouldn't test PSA annually for men >75; but I would do it if they're still in "good" health + abnormal rectal exam + ...Read moreSee 2 more doctor answers
Growth Factor: Testosterone stimulates growth and multiplication of prostate cells - both normal and cancerous ones. So if any cells survive the brachytherapy, they will grow faster in the presence of testosterone, and be more likely to form a large mass or spread to other parts of the body before being detected. ...Read moreSee 1 more doctor answer
Normally 0 to 4: Minor variability among laboratory reference range, but normally between 0-4 is considered normal. But, for some one who had a total prostatectomy (removal of prostate for cancer etc..), any level above 0 is considered abnormal. So, usually 1.8 is normal, but the rate of change is also of some importance. Follow up with doc regularly. Good luck. ...Read more
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 moreSee 1 more doctor answer