It seems to me that the PSA test is not conclusive (low number can be cancerous and high number can be normal)and leads to a dangerous biopsy procedure (possibility of damage to nerve bundle, incontinence, ED, infection) that is also inconclusive (with PSA over 4, even if no cancer in the biopsy, more biopsies are needed in the future), I understand that other bio-markers are being sought through research. Shouldn't we wait until those bio-markers are available? I am scheduled for a biopsy tomorrow but am seriously considering cancelling because of the aforementioned. My PSA is 5.4, free PSA is 17%, my father had pc, and I am 67. I am in good health and feel great. What do you advise?
Based on my clinical experience you have all the reasons - raised total and free PSA with family history, to be subjected to prostate biopsy. It is absolutely indicated to rule out the possibility of prostate tumour
I agree with you that better markers are not available at this point of time, but I do not suggest you to wait till then. I think you need to go ahead with the procedure. Though this is not something that is needed immediately, you would need to consider it at the earliest.
Complications do exist with prostate biopsy, but when performed by an experienced and competent doctor, the procedure is successful without any major complications.
Few other tests such as ultrasound abdomen and pelvis, CT scan might help in the diagnosis; however they are less conclusive diagnostically when compared to biopsy and pathological studies. I encourage you to go ahead with the biopsy without a second thought.
Hope that this information helps and hope that you will get better soon.
Thank you for using MedHelp's "Ask an Expert" Service, where we feature some of world's renowned medical experts in their fields. Millions have benefitted from our service to get personalized advice for them and for their loved ones.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
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. MedHelp 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.