8 doctors weighed in:
Urine test showed a 6.7 psa level, should I accept the recommendation for a prostate biopsy?
8 doctors weighed in

2 doctors agree
In brief: 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.

In brief: 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.
Dr. Moez Khorsandi
Dr. Moez Khorsandi
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Dr. George Klauber
Pediatrics - Urology
1 doctor agrees
In brief: Yes unless!
By and large have a biopsy, and hopefully urologist will take at least 12 cores (many don't).
Definite have biopsy if your father had prostate cancer. However psa can be elevated with prostatitis or after a vigorous digital rectal examination, in which case wait a couple of weeks and repeat. Prostate cancer is usually very slow growing. Grows slower in older man.

In brief: Yes unless!
By and large have a biopsy, and hopefully urologist will take at least 12 cores (many don't).
Definite have biopsy if your father had prostate cancer. However psa can be elevated with prostatitis or after a vigorous digital rectal examination, in which case wait a couple of weeks and repeat. Prostate cancer is usually very slow growing. Grows slower in older man.
Dr. George Klauber
Dr. George Klauber
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In brief: Psa screening
The american urologc association and american cancer society says you need a bx unless you were screened improperly.
..If you have more than a ten year life expectancy you should discuss a bx with a urologist and then make your decision based on that meeting.

In brief: Psa screening
The american urologc association and american cancer society says you need a bx unless you were screened improperly.
..If you have more than a ten year life expectancy you should discuss a bx with a urologist and then make your decision based on that meeting.
Dr. Richard Sarle
Dr. Richard Sarle
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Dr. Colin Kerr
Family Medicine
In brief: Elevated PSA
The most common cause of a mildly elevated psa is benign prostatic hypertrophy.
In 2011 the United States preventive services task force issue a new recommendation against all forms of psa as a screening test. If your age is over 65, you should really not have to worry about this. As a younger man, you may want to check the psa once a year and see a urologist if it goes over 20.

In brief: Elevated PSA
The most common cause of a mildly elevated psa is benign prostatic hypertrophy.
In 2011 the United States preventive services task force issue a new recommendation against all forms of psa as a screening test. If your age is over 65, you should really not have to worry about this. As a younger man, you may want to check the psa once a year and see a urologist if it goes over 20.
Dr. Colin Kerr
Dr. Colin Kerr
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3 comments
Dr. George Klauber
Most urologists believe that the USPST went too far with their recommendations. I believe that PSA screening should not be done beyond age 70, Suggesting that referral be done only when >20 is far too cavalier. PSA>20 =cancer, 10-20 is moderate risk and well worth checjking out in men<65 in absence of prostatitis or after vigorous rectal exam. PSA 5-10 is low risk but workup is patient's choice
Dr. Joel Lilly
I think the question you should ask is why you got the PSA blood test in the first place. If you are healthy enough to be around for at least 10 years and you are interested in screening for disease, then go to a urologist to be examined. The urologist can help you decide if you would likely have a benefit from going ahead with a biopsy.
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