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High PSA Levels: What is the cause?

Men's Health | Last Active: Mar 7 11:44am | Replies (43)

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@cekkk

I have read quite a little bit here, but still want to ask this question. I'm 81. Recent PSA test was 6 points something. My urologist would like to conduct a biopsy. And he said there is a 75% chance that I'm good, but that leaves at 25% chance that I have a cancer. And of course, without the test there's no way to tell if it's aggressive or not. My question is this. Should I proceed with the biopsy?

I'm 81, have minor kidney and liver problems, more concerning is nerve problems that have resulted in foot drop four years ago in one leg and in November, a few months ago, nerve/muscle weakness in the thigh of the other leg. And along with that is moderate but constant discomfort. I really don't need to undergo any procedure that is not clearly necessary. Comments and or advice, please.

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Replies to "I have read quite a little bit here, but still want to ask this question. I'm..."

@cekkk I'm 66 and my PSA has been above 6 for 3 years. The last reading was September 2023 and the reading was 10.03. I will be getting an updated reading next week since I will be seeing the urologist the following week. My urologist has not pushed for a biopsy but it may be because I'm not having any issues other than the elevated PSA. An ultrasound showed that the prostate is enlarged, which can result in a higher PSA. The urologist told me there are no imperfections in the prostate (via the DRE) and he uses that as the indicator for cancer. I trust his experience. You may want to get a second opinion before submitting to a biopsy.
Tony in Michigan

Sir, I would speak with your GI specialist and Neurology about the procedure and after effects. Urologist MUST know what medicines you take, dose and how often. I think like you, although I am 66. Given your other medical problems you want to make sure that a- it’s necessary and b- what your other specialists feel about your going through this procedure or any procedure for that matter. I put my biopsy off for 7 months due to other minor medical issues. Never feel pressured into a procedure until you have all answers. Not pushing religion here but…………. pray, it always helps me.