I Am 50 Years Old. I Was Referred To A
Since then I have had PSA checked several times:
Saw different urologist in March who was not concerned about PSA at that time but ultrasound showed 190cc post void residual and I started 2mg/day Cardura. Still taking Proscar.
Yesterday, I had my PSA tested and it was 0.9. I was reassured with the lower PSA levels through February, but am concerned with the jump from 0.4 in February to 0.9 in XXXXXXX Cardura may be helping slightly but I still often feel I cannot empty my bladder completely. I read somewhere that "any" "confirmed increase" in PSA while on Proscar "could" suggest cancer. Should I be worried about the doubling in PSA in 4 months and continuing LUTS even when on Proscar and Cardura? Thanks.
Not to be worried about PSA at all
Thanks for query ,
Based on the facts that you have posted you have been regularly monitoring your PSA levels since 2014 and it has been reported to be in a range of 0.6 to 0.9 ng .
PSA is an enzyme secreted by prostate which helps to liquefy semen and normal value of a PSA in a normal individual is 0.4 to 4 ng.So one has not to be worried as long as PSA is within this normal range .
PSA is a guiding tool to screen and do further tests like MRI or Prostate biopsy if it shows rising trend when PSA tests are done at every 15 days interval consecutively for period of 3 months and DRE detects hard palpable nodule on posterior surface of Prostate .
In a given situation like normal PSA and DRE you need not have to be suspicious about having prostate cancer .
The high post void residual urine (PVR) detected on Ultrasound Scanning could be due to Bladder Outlet(Neck) Obstruction (BNO) .Discuss with your Urologist to explore need for doing endoscopic examination of bladder (Cystoscopy) to rule out the same .
Do not raise your anxiety levels by thinking about having prostate cancer.
Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Fenasteride decreases PSA which is higher than normal (More than 4 )
Thanks for follow up .
Fenasteride decreases PSA which is abnormally raised more than normal value of 4 it does not decrease the normal PSA.
The value of a PSA are different even on day to day basis and depends upon sexual activities and condition of prostate .It may get higher if there is slight UTI or infection of prostate.
I think you are unnecessarily giving too much importance to your PSA values which are absolutely within normal range .I would add a word of cautious that Fenasteride taken over a longer duration in some individuals may lead to cancer of Prostate .
Thanks and Regards.