A health male in early 50's, with no family history of prostate cancer. In his later forty's, annual exam showed PSA were in 1.3-1.4 level. A most recant one, after 18 month of the last test, PSA somehow shot in higher lever , a couple of them were consider took right after DRE or other exam may course the elevated PSA. Later repeat in a month showed PSA range 4 - 2.5 (a few days after DRE or test involved in a message of prostate).
Dr consider infection, so he took a course of antibiotics. After that, the first repeat test show PSA is 1.8.
What do you think about this case? IS infection? If he is your patient, what will be your recommendation? Will you still think biopsy is necessary?
BTW, anyway can diagnosis for infection? Why most urologist will not conduct the tests?
There are several factors that can elevate a PSA other can prostate cancer. Some of which include urinary infection, prostatitits, DRE, inflammatory problems, etc. If your PSA's have been in the 1.8 range and then quickly return to 1.8 after a course of antibiotics I would attribute to an infection/inflammation. Still, a careful surveillance strategy of repeat PSA to ensure it stays low is important. In most cases of young men, the absolute number of PSA is important, but more important can be the rate of rise in the PSA. I would repeat the PSA again to confirm the 1.8 and then get your screening PSA's and DRE's regularly.
Thank you! Your time and advise is greatly appreciated.
If it was caused by infection, then this course of antibiotics take care of problem, then is it likely, need more antibiotics later, if repeat PSA raise again? Is there any way can test and diagnosis for infection?
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.