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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does PSA Of 14.3 Suggest?

My husband is 47 years old and he is end-stage renal. Testing to be added to organ list. This is his 2nd kidney transplant (1st was 10 years ago). He suffers from IGa nephropathy. During testing, doctor found that his PSA as 14.3. Waiting to see a urologist but had a couple of questions. He had a VCUG, but I'm not sure if it was prior to or after the blood draw. Also, he is retaining about 10-15 extra pounds of fluid by the end of the day with lots of swelling, including his genital area. Also, he has had some difficulty in the last 6 months with erectile dysfunction. Was wondering:

1. Can this elevation be caused by ESRD?

2. Would the VCUG cause an increase if the VCUG was done prior to draw?

3. Could medicines that he takes effect PSA?

Any info you can give me would be greatly appreciated.
Mon, 29 Aug 2016
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Urologist 's  Response
Hi
Thank you for your query.
1) PSA elevation will not be caused by ESRD
2) VCUG can cause raise in PSA due to catheter insertion into urethra if done prior to blood test.
3) Medicines such as finasteride or dutasteride causes reduction in PSA not increase it
Hope that answers your query.
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What Does PSA Of 14.3 Suggest?

Hi Thank you for your query. 1) PSA elevation will not be caused by ESRD 2) VCUG can cause raise in PSA due to catheter insertion into urethra if done prior to blood test. 3) Medicines such as finasteride or dutasteride causes reduction in PSA not increase it Hope that answers your query.