14 doctors weighed in:

A psa 6.9 is biopsy needed?

14 doctors weighed in
9 doctors agree

In brief: Maybe

While a psa level of 6.
9 might suggest the need for a biopsy, factors such as a patients age, other medical conditions, life expectancy, previous psa values, the presence of lower urinary tract symptoms that might suggest prostate infection or inflammation, feel of the prostate on palpation, family history of prostate cancer and patient desire to have the biopsy all factor into this decision.

In brief: Maybe

While a psa level of 6.
9 might suggest the need for a biopsy, factors such as a patients age, other medical conditions, life expectancy, previous psa values, the presence of lower urinary tract symptoms that might suggest prostate infection or inflammation, feel of the prostate on palpation, family history of prostate cancer and patient desire to have the biopsy all factor into this decision.
Dr. Edward Cherullo
Dr. Edward Cherullo
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Dr. Kenneth Cheng
Family Medicine
3 doctors agree

In brief: Probably

An elevated psa (prostate specific antigen) test may require a prostate biopsy if no other cause for the elevation is determined.
Usually, this means ruling out a prostate infection, or prostatitis.

In brief: Probably

An elevated psa (prostate specific antigen) test may require a prostate biopsy if no other cause for the elevation is determined.
Usually, this means ruling out a prostate infection, or prostatitis.
Dr. Kenneth Cheng
Dr. Kenneth Cheng
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Dr. James Lin
Urology
1 doctor agrees

In brief: Here are some ...

PSA value alone would not dictate the need for biopsy.
Instead, considering its pace of change (?>0.75 ng/ml/yr), DRE (?uneven consistency, regular surface, local induration), risk factors(?FH of P-Ca, blacks, Agent Orange exposure), prior biopsy with T/F PSA as needed, Hx of UTI as documented, etc. and discussing pros and cons of P-Bx before submitting patients to Bx is a genuine modern practice

In brief: Here are some ...

PSA value alone would not dictate the need for biopsy.
Instead, considering its pace of change (?>0.75 ng/ml/yr), DRE (?uneven consistency, regular surface, local induration), risk factors(?FH of P-Ca, blacks, Agent Orange exposure), prior biopsy with T/F PSA as needed, Hx of UTI as documented, etc. and discussing pros and cons of P-Bx before submitting patients to Bx is a genuine modern practice
Dr. James Lin
Dr. James Lin
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1 comment
Dr. James Lin
To help clear the ongoing controversy, read, at least, the 3 articles on the age of http://formefirst.com/FreeInfoProstate.html.
1 doctor agrees

In brief: Elevated psa

Current guidelines would say yes ! unless you have less than a 10 year life expectancy for other reasons.
..If you don't have that life expectancy don't check psa.

In brief: Elevated psa

Current guidelines would say yes ! unless you have less than a 10 year life expectancy for other reasons.
..If you don't have that life expectancy don't check psa.
Dr. Richard Sarle
Dr. Richard Sarle
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