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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevated PSA Levels?

I recently had a PSA test and levels were 7.5 and my urologist is recommending a prostate biopsy. I m a 63 yr old Caucasian male with no family history of prostate cancer. I m athletic, not overweight, an avid bicyclist, eat well (low fat diet), and sexually active. I may have ejaculated within 24 hrs prior to the PSA test. I m concerned about any side effects of a biopsy and the potential health risks. A digital rectal exam was also done at the time of my PSA test and my prostate is of normal size for someone my age. I m wondering if my urologist should have taken another PSA test prior to a biopsy?
Tue, 16 Jan 2018
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Internal Medicine Specialist 's  Response
Hello and welcome,

According to published reports, men with normal prostate gland on examination and a PSA between 4 to 10 have a 25% chance of having prostate cancer. Some factors may cause PSA level to rise such as urinary tract infection, prostatitis, prostate biopsy/surgery, recent sexual intercourse (previous 48 hr ejaculation) and long bicycle rides (increases about 9,5%). Please, consult your urologist to repeat a PSA test.
The most common complications are blood in your urine (few days after the procedure), rectal bleeding, blood in the semen (few weeks after the procedure). The bleeding is usually minor and no cause for concern.
Rarely, a prostate biopsy may cause an infection, but your doctor usually prevents it by giving antibiotics before the procedure.

I hope the above information will be helpful for you. Please, feel free to ask me if there is anything else you need to know.

Thank you,
Malik Amonov MD
I find this answer helpful
Internal Medicine Specialist Dr. Malik's  Response
Hello and welcome,

According to published reports, men with normal prostate gland on examination and a PSA between 4 to 10 have a 25% chance of having prostate cancer. Some factors may cause PSA level to rise such as urinary tract infection, prostatitis, prostate biopsy/surgery, recent sexual intercourse (previous 48 hr ejaculation) and long bicycle rides (increases about 9,5%). Please, consult your urologist to repeat a PSA test.
The most common complications are blood in your urine (few days after the procedure), rectal bleeding, blood in the semen (few weeks after the procedure). The bleeding is usually minor and no cause for concern.
Rarely, a prostate biopsy may cause an infection, but your doctor usually prevents it by giving antibiotics before the procedure.

I hope the above information will be helpful for you. Please, feel free to ask me if there is anything else you need to know.

Thank you,
Malik Amonov MD
I find this answer helpful

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What Causes Elevated PSA Levels?

Hello and welcome, According to published reports, men with normal prostate gland on examination and a PSA between 4 to 10 have a 25% chance of having prostate cancer. Some factors may cause PSA level to rise such as urinary tract infection, prostatitis, prostate biopsy/surgery, recent sexual intercourse (previous 48 hr ejaculation) and long bicycle rides (increases about 9,5%). Please, consult your urologist to repeat a PSA test. The most common complications are blood in your urine (few days after the procedure), rectal bleeding, blood in the semen (few weeks after the procedure). The bleeding is usually minor and no cause for concern. Rarely, a prostate biopsy may cause an infection, but your doctor usually prevents it by giving antibiotics before the procedure. I hope the above information will be helpful for you. Please, feel free to ask me if there is anything else you need to know. Thank you, Malik Amonov MD