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Urology  (Expert Forum)
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psa level and anal fissure
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

psa level and anal fissure

by omha, Sep 21, 2004 12:00AM
i am 55 yrs old .i have enlarged prostate and have been checking my psa level every 6 months and the results havee always been below 2.5. suddenly in the last test psa level jumped to 12.1.at about the same time i habeen suffering from anal fissure. my question is can anal fissure cause psa level elevation? iam planning to do a 2nd test to confirm the result.If the second test turned out to be normal what would be your recommendation.

by Kevin Pho, MD, Sep 21, 2004 12:00AM
I am not aware of an anal fissure elevating the PSA level.  Repeating the test is a good idea - but with a PSA level above 10, you may want to consider a urology referral and prostate biopsy.  Prostate cancer should be ruled out first before attributing the cause to other diseases.  



If the PSA result turned out to be some kind of error, I would serially repeat the test according to your physician's recommendations.



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Kevin, M.D.

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