My 67year old dad had a PSA of 14 and it now reduced to 12 after 10d

Posted by manishpaulsimon @manishpaulsimon, 10 hours ago

Hi,

My 67-year-old father recently had a PSA test with an initial result of 14.62 ng/mL. His doctor suspected prostate cancer and recommended a TRUS-guided biopsy, which was performed. The biopsy results showed only benign prostatic tissue, with no evidence of malignancy.

As a follow-up, we repeated the PSA test after 10 days, and the result dropped to 12 ng/mL. However, despite this decrease, the doctor insists that the PSA has not reduced enough and is recommending another biopsy.

We don't know what to do now. We don't want to do another biopsy.
But his PSA is also pretty elevated. What do we do now?

We're not happy with this current doctor as he didn't look at the test results properly and didn't answer our questions promptly too.

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

Seek another urologist, especially if you aren't happy with the current one.

A high PSA doesn't guarantee cancer, just as a low PSA doesn't guarantee no cancer. You can ask for a PSE test, instead, this should give a 94% accuracy if there is cancer - and it's only a blood test. PSE should generally be done before biopsies for this reason.

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My first biopsy came back Benign and my PSA was 6. I just had an additional biopsy and the PSE test and the biopsy both agreed that I have Prostate Cancer. You dad's next step should be a PSE , based on that, he might have to have a second biopsy. Biopsies aren't fun and I certainly didn't want a second one.

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Has your doctor talked about BPH at all? That can cause your PSA to rise and not be prostate cancer. The usual treatment is an antibiotic, but if you don’t sell any symptoms, then that won’t help.

A friend of mine had a PSA of over 50 went through multiple biopsies and never had prostate cancer. That PSE test mentioned Is probably your next best bet. Here’s some info about the PSE versus other tests

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