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Suffering from chronic prostatitis. Is it worry about psa and free psa report ?

my father s total PSA and free PSA report shows the following results: total psa 2.80 free psa .16 %free psa 5.71 still my father is complaining about pain in the left inguinal region. my father s previous treatment position that i have already mentioned on this site under the topic chronic prostatitis since 1 march 2011 through asking the question which is as follows: my father has been suffering from chronic prostatitis from feb,2011. and my father is having pain in left side of inguinal region. So on 25th may doctor prescribed him colour dopler(TRUS) in which calcification of inguinal lymph nodes found. The doctor him leon 500mg (O.D), surfex xt(O.D), DUTAS-T(H.S.). my father has been hospitalised for one month from 1Mar2011 in which he has taken prulifloaxcin for 15 days alongwith inj. ceftriaxone 1g B.D and amikacin. 500mg B.D. later on azithromycin for 10 days. and presently he is taking leon 500mg since three days. he has been taking dutas-T from the date of hospitalisation i-e around 3and a half month. one more thing i want to add here is that his psa level has increased from 5.99 in march to 6.3 in last week of april.2011. kindly give your kind advice in this regard..
Asked On : Sun, 19 Jun 2011
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Internal Medicine Specialist 's  Response
Hi Mohammed Mohsin. Thanks for your query and for using health care magic

You father has three main problems

1. Left Inguinal Pain

3. Chronic Prostatitis

3. Elevated PSA which has returned to normal now

The left inguinal pain which he is having is likely related to related to the prostatitis. The inguinal lymphnodes usually drain lymph from the perineal area and prostate, and get enlarged and calcified if there is an local infection. A detailed examination by doctor can ascertain the exact cause of his inguinal pain.

Prostatitis is an infectious condition and it takes a prolonged course of antibiotics for the infection to clear. He has received considerable number of antibitics and for a long duration. The infection is likely to be under control. You can do urine culture to verify whether the infection if present or not.

His current PSA is normal. PSA can get elevated in Prostatitis and it comes back to normal after antibiotics has controlled the infection. This is is the case with your father.

Hope this answers your query.

Do get back if you need any further information

Thanks and Regards

Answered: Mon, 20 Jun 2011
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