Have an enlarged prostate with elevated PSA. October was total 8.68/ free23% .....today total 9.78/free 27.8% Dr. suggests a biopsy but I have concerns with regard to infections and other side effects besides being very squeamish and afraid. What is the current thinking on this?
Hello and welcome to HCM, The enlarged PSA level is increased in various conditions of prostate. Prostatic enlargement, prostatitis, and prostatic carcinoma are the causes which cause elevation of PSA. The normal level of PSA is below 4pg/dl. Cancer of prostate leads to elevation of PSA levels more than 10 pg/dl. Level up to 10 pg/dl is commonly seen in benign prostatic hyperplasia. However, biopsy is required for making a confirmed diagnosis. The procedure is a quick and has negligible side effects. If pain and infection occur, drugs will be prescribed.
Thanks and take care Dr Shailja P Wahal
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What Are The Side Effects Of Biopsy?
Hello and welcome to HCM, The enlarged PSA level is increased in various conditions of prostate. Prostatic enlargement, prostatitis, and prostatic carcinoma are the causes which cause elevation of PSA. The normal level of PSA is below 4pg/dl. Cancer of prostate leads to elevation of PSA levels more than 10 pg/dl. Level up to 10 pg/dl is commonly seen in benign prostatic hyperplasia. However, biopsy is required for making a confirmed diagnosis. The procedure is a quick and has negligible side effects. If pain and infection occur, drugs will be prescribed. Thanks and take care Dr Shailja P Wahal