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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Grade 1 Prostate Enlargement, Family History Of Prostate Cancer. Concerned About Rise In Psa?

Hello. I am a 59 year old Caucasian male with grade 1 prostate enlargement (measured today with Doppler echo, 37x33x37 mm diameter, volume 24). I had a psa of 4.67 in September 2012, and the previous number in 2009 was 2.02, which is why the doctor ordered the echo. Tomorrow I get the results of the psa test I took a few days ago. I do remember having sex 24 hours before the September test, not knowing that you are not supposed to because it can affect the number. I have no symptoms or problems, but I do have a family history, my father had prostate cancer in his 60´s, survived it well, and died at age 90. I do feel worried meanwhile, though tomorrow I will see the new psa and know more. Should I be concerned about the rise in psa in 3 years?
Mon, 24 Dec 2012
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General Surgeon,  's  Response
Hello!

Thank you for the query.

As you have probably been told PSA level can get elevated due to intercourse, rectal examination or prostate inflammation. Generally, there is not much difference between PSA 2,02 and 4,67 as the conditions could be different between this two test. And still your result is not very high. It is only slightly elevated. However if your current PSA level will be higher than previous, you should visit urologist for prostate biopsy.

Hope this will help.
Regards.
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General & Family Physician,  Dr. Das Arindam's  Response
Hello, Welcome to HCM, I am Dr. Das.

Look, a recent increase in PSA level alngwith presence of the enlarged prostate indicates a possibility of neoplastic changes in prostate.

So, you have to be concerned about the PSA level.

Do not neglect this thing. Keep following up with the doctor.

Regards.
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Suffering From Grade 1 Prostate Enlargement, Family History Of Prostate Cancer. Concerned About Rise In Psa?

Hello! Thank you for the query. As you have probably been told PSA level can get elevated due to intercourse, rectal examination or prostate inflammation. Generally, there is not much difference between PSA 2,02 and 4,67 as the conditions could be different between this two test. And still your result is not very high. It is only slightly elevated. However if your current PSA level will be higher than previous, you should visit urologist for prostate biopsy. Hope this will help. Regards.