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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?

Thank you....I have had a negative biopsy but my psa count is climbing now at 6.1 ...how can we determine if there is cancer will an mini work. Or will I have to do another biopsy. My sexual function is good but weak stream urinating. I am 59 with no weight loss, lower back pain but I have had lots of injuries due to a long career of rodeo
Wed, 7 Mar 2018
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General & Family Physician,  's  Response
Hello,

Apart from cancer, Prostate-specific antigen (PSA) can be elevated due to infections and benign prostate hyperplasia.

The fact is that your urinating stream is weak and a negative biopsy (and maybe lack of prostate or urinary tract infection) supports the idea of prostate hyperplasia (hypertrophy). Also, with aging the PSA levels might increase as well.

At this stage all you have to do is wait and watch, you should visit your doctor at least once per year in order to assess the situation, and do few laboratory tests.

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

Regards,
Dr. Ervin Toçi
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What Causes Elevated PSA Levels?

Hello, Apart from cancer, Prostate-specific antigen (PSA) can be elevated due to infections and benign prostate hyperplasia. The fact is that your urinating stream is weak and a negative biopsy (and maybe lack of prostate or urinary tract infection) supports the idea of prostate hyperplasia (hypertrophy). Also, with aging the PSA levels might increase as well. At this stage all you have to do is wait and watch, you should visit your doctor at least once per year in order to assess the situation, and do few laboratory tests. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ervin Toçi