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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevated PSA Levels?

I AM A VET AND HAVE VA FOR MY HEALTH. THEY BEING TELLING ME MY PSA LEVEL HAS BEEN GOING HIGHER. SO AFTER ABOUT 1 AND A HALF YEARS REFUSING TO DO A BIOPCY. I FINALLY DID IT. RESULTS CAME BACK. MY RIGHT SIDE WAS NEGATIVE. THE LEFT SIDE HAD CELLS BUT NOT CANCEROUS. THEY WANT TO DO ANOTHER BIOPCY IN THREE MONTHS. I TOLD THEM I WILL DO IT IN 6 MONTHS. I DID MOT WANT IT TOO SOON. WANTED TO MAKE SURE MY PROSTATE WAS HEALED. ALSO WHEN THEY NUMED ME ON ONE SIDE I HAD A FLUSH FEELING AND THOUGHT I WAS ABOUT TO PASSOUT. HE TOLD ME TO COUNT OUT LOUD TO 10. IM WORRIED ABOUT THIS HAPPING AGAIN.
Tue, 25 Sep 2018
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Pediatrician,  's  Response
Hi,

The two most common reasons for a rising PSA level are prostate cancer and benign prostatic hypertrophy (BPH). Benign means non-cancerous. When PSA level goes up, the physician's obligation to his patient is to make sure patient does not have cancer. To do this the doctor(urologist) takes a biopsy(a small portion) of the prostate gland and sends it to the pathologist.

The pathologist looks at the prostate tissue under microscope for cancer cells. If none are found, the urologist will have the patient return for another scan(MRI) to see if the suspicious area of the prostate has changed and a follow up PSA blood test. I think you have a good urologist who is concerned about you and wants to give you good care and so he/she is asking you to come back sooner rather than later.

Trust your urologist. If she/he requests you back in 3 months, then she/he knows your prostate will have healed by then. The flushed feeling may not happen the second time. Or you might ask if you can be given another numbing medicine.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Arnold Zedd,
Pediatrician
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What Causes Elevated PSA Levels?

Hi, The two most common reasons for a rising PSA level are prostate cancer and benign prostatic hypertrophy (BPH). Benign means non-cancerous. When PSA level goes up, the physician s obligation to his patient is to make sure patient does not have cancer. To do this the doctor(urologist) takes a biopsy(a small portion) of the prostate gland and sends it to the pathologist. The pathologist looks at the prostate tissue under microscope for cancer cells. If none are found, the urologist will have the patient return for another scan(MRI) to see if the suspicious area of the prostate has changed and a follow up PSA blood test. I think you have a good urologist who is concerned about you and wants to give you good care and so he/she is asking you to come back sooner rather than later. Trust your urologist. If she/he requests you back in 3 months, then she/he knows your prostate will have healed by then. The flushed feeling may not happen the second time. Or you might ask if you can be given another numbing medicine. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Arnold Zedd, Pediatrician