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I am 56 years old PSA 6.2

I had my PSA level check  5 months ago It was 4.2,  then 4 weeks ago  I had Hernia surgery
About  8 Days ago I check my PSA level and It was 6.2. Then I went to Lab.  and I check my PSA again 2 days ago  This time  was 5.5.  I do not know what is going on. I do not like to do biopsy because   it is very risky .
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242579 tn?1252114771
Thank you for your question. An elevated PSA does not always correspond to a positive prostate cancer diagnosis. Two other common causes of an elevated PSA could be BPH (benign prostatic hyperplasia) and prostatitis (inflammation of the prostate).

At 58 years of age and three consecutive PSA tests greater than 4.0 ng/mL would warrant a prostate biopsy. A TRUS guided prostate biopsy is usually a safe and well-tolerated procedure. However, complications can include blood in the urine (hematuria), blood in the semen (hematospermia), or in the stool, and a dull ache in the perineum (area between the anus and the scrotum).  Sometimes blood clots may form in the bladder, as well.  Infections and even worse, sepsis, are rare complications.


Ash Tewari, MD


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