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Free PSA Is 2.95. Suggested No Biopsy. What To Do?

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Posted on Mon, 21 Oct 2013
Question: Hello, im a 46 year old man concerned. My free psa is 2.95 and percentage free psa is 13%. My current urologist is of the view that i dont need a biopsy.
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Answered by Dr. M Y Shareef (5 minutes later)
Hi XXXXX! I am Dr Shareef, a general surgeon answering your query.
I am not aware of the reason your PSA test is done. If it is a routine screening test, then your Urologist is right in saying that you do not need a prostate biopsy. You should go with his advice. Thanks and take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. M Y Shareef (5 minutes later)
My psa was 4.09 but reduced to 3.05 and last test result was 2.95. I am concern about the percentage total free psa and its implication
doctor
Answered by Dr. M Y Shareef (8 hours later)
Brief Answer:
I still will go with the opinion of your urologist

Detailed Answer:
Hi XXXXX! Good morning. It is nice to hear from you so soon. My regrets for the delay in responding because of the late hours of night in this part of the sub continent when your mail must have reached me.

Usually, in this region,we still rely on the serum PSA level and do not go for the ratio you have mentioned about. In the clinical practice, I have not faced any problem relying on the PSA level, which is very much in range in your case. Therefore, I still give full weight age to the opinion of your urologist that you do not need the biopsy, which anyways is an invasive procedure, even though a very minor one.

I hope this will help you deciding relieving your apprehension on the issue. Thanks and good luck.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. M Y Shareef

General Surgeon

Practicing since :1979

Answered : 2457 Questions

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Free PSA Is 2.95. Suggested No Biopsy. What To Do?

Hi XXXXX! I am Dr Shareef, a general surgeon answering your query.
I am not aware of the reason your PSA test is done. If it is a routine screening test, then your Urologist is right in saying that you do not need a prostate biopsy. You should go with his advice. Thanks and take care.