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Incontinence

Question
Posted by: Frank | 2019/03/05

Q.

Elevated psa levels

During a yearly medical it was discovered I have slightly elevated psa levels of 4.05, I was referred to my local GP who immediately put me on to antibiotics and instructed me to return the day after completing the course for another blood test. The resuts of this blood test were 6.25 psa within a matter of a week. Two different labs were used to diagnose my blood results (Lancet 4.05, Du Buisson 6.25) I was referred to a Urologist today who did a sonar and a rectal exam. Both confirmed a slightly enlarged prostate, but soft with no tissue hardening. I have absolutely no side effects related to enlarged prostate, Im in perfect health and cycle once a week for approximately 45km. I was unexpectedly also diagnosed with high blood pressure at my yearly medical. 'The Urologist wanted to do a MRI today, but I live 300km from the hospital and I suffer from extreme claustrophobia therefore I would require a light anaesthetic to be able to have a MRI. So the specialist said I should then rather come back on a later date for a biopsy of the prostate. Considering that I have NO side effects (urine dribbling, no feeling of incomplete bladder emptying, no difficulty to start urinating, no urge to urinate frequently, no urgency to urinate, I do not get up at night to urinate, my stream does not start and stop, no straining to urinate) is a biopsy not an extreme alternative? Could I not just be suffering from BPH?

Expert's Reply

A.

Incontinence Expert
- 2019/03/25

Dear Frank

The biopsy is a very reasonable option.
The fact that your PSA has gone up/ is above normal is concerning, but does not diagnose prostate cancer. The biopsy diagnoses prostate cancer, and cancer often causes no symptoms until it's too late.
Kind regards
Prenevin

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